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Individual

DR. JEFFREY ALAN MARCUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4800 OLDE TOWNE PKWY, SUITE 150, MARIETTA, GA 30068-4357
(770) 977-1510
(770) 509-8858
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
037283
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000560403D
GA
05
000560403E
GA
05
000560403F
GA
Enumeration date
08/12/2005
Last updated
03/23/2017
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