Individual
RONNIE C MARRACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 SILVER ST, WATERVILLE, ME 04901
(207) 872-0866
(207) 872-8098
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-1316
(912) 350-6335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
014513
ME
208M00000X
Hospitalist Physician
Primary
040730
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025781
ANTHEM
ME
05
—
132900099
—
ME
Enumeration date
10/24/2006
Last updated
05/24/2017
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