Individual
DEENA H THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 WHITCHER ST NE STE 250, MARIETTA, GA 30060-1169
(770) 428-3995
(770) 426-1499
Mailing address
55 WHITCHER ST NE STE 250, MARIETTA, GA 30060-1169
(770) 428-3995
(770) 426-1499
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0051219
GA
Other
Enumeration date
11/01/2006
Last updated
03/12/2014
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