Individual
MRS. MARRE PATRICE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
2675 N DECATUR RD, SUITE 506, DECATUR, GA 30033-6131
(404) 299-1679
Mailing address
1126 PRESTON CREEK DR, MCDONOUGH, GA 30253-8977
(678) 583-5139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004592
GA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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