Individual
MICHAEL MARIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
541 U.S. 441 BUSINESS, DEMOREST, GA 30535
(706) 754-2161
Mailing address
6523 COX DR, FLOWERY BRANCH, GA 30542-2641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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