Organization
J MARSEILLE MANAGEMENT, INC.
Active
Other names
Physicians Choice Rejuvenation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY MARSEILLE (OWNER)
(754) 366-0821
Entity
Organization
Contact information
Practice address
3440 BLUE SPRINGS RD NW, 301, KENNESAW, GA 30144-1030
(770) 693-6974
Mailing address
300 E OAKLAND PARK BLVD, 501, OAKLAND PARK, FL 33334-2148
(754) 366-0821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65098
GA
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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