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Individual

MARAT V PLOTKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 GREENCASTLE RD, STE A, TYRONE, GA 30290
(770) 631-1040
(770) 631-1019
Mailing address
105 GREENCASTLE RD, STE A, TYRONE, GA 30290
(770) 631-1040
(770) 631-1019

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
046473
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000804724X
GA
Enumeration date
07/19/2006
Last updated
10/12/2011
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