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Individual

MARC MERRICK DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 TURNER MCCALL BLVD SW, ROME, GA 30165-5630
(706) 291-1754
(706) 291-2227
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
057359
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5106222
AETNA
GA
01
52161939-003
BLUE CROSS BLUE SHIELD GA
GA
05
717817640A
GA
Enumeration date
06/09/2005
Last updated
03/23/2020
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