Individual
KEVIN DWAIN MARLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 PRIME PT, PEACHTREE CITY, GA 30269-3309
(770) 487-1454
Mailing address
440 PRIME PT, PEACHTREE CITY, GA 30269-3309
(770) 487-1454
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
28318
KY
208D00000X
General Practice Physician
Primary
55782
GA
208D00000X
General Practice Physician
A51203
CA
Other
Enumeration date
09/19/2007
Last updated
01/16/2014
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