Organization · Type 2 NPI
Medic One LLC
Adult Medicine Physician · Marietta, GA
NPI number
1255690475
Active
Practice location
2621 Sandy Plains Rd, Suite 304
Marietta, GA 30066-4267
Fax (770) 575-0879
Mailing address
PO Box 670508
Marietta, GA 30066-0126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 51736 (GA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
Other adult medicine physician providers in Marietta
About NPI 1255690475
Medic One LLC's National Provider Identifier is 1255690475, issued on May 8, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Marietta, GA. The record was last updated on May 8, 2012.