Organization
FAGIN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONELL MARECHEAU (COMPLIANCE)
(570) 507-7553
Entity
Organization
Contact information
Practice address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
(570) 507-7553
Mailing address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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