Individual
ANTHONY MARZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7000
Mailing address
2310 N PATTERSON ST, BLDG C, VALDOSTA, GA 31602-2500
(229) 244-6852
(229) 242-2385
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003003
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001424A
—
GA
Enumeration date
09/21/2006
Last updated
01/23/2025
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