Organization
MARIETTA OB GYN AFFILIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN B SMOLINSKI (ADMINISTRATOR)
(770) 422-8505
Entity
Organization
Contact information
Practice address
699 CHURCH ST NE, STE 220, MARIETTA, GA 30060-1116
(770) 422-8509
(770) 424-7449
Mailing address
699 CHURCH ST NE, STE 220, MARIETTA, GA 30060-1116
(770) 422-8509
(770) 424-7449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020849B
—
GA
Enumeration date
07/13/2006
Last updated
02/24/2015
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