Organization · Type 2 NPI
Marietta Medical Group
Primary Care Clinic/Center · Marietta, GA
NPI number
1366497398
Active
Practice location
741 Chance Rd
Marietta, GA 30066-3711
Fax (770) 973-8497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 024225 (GA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1366497398
Marietta Medical Group's National Provider Identifier is 1366497398, issued on May 25, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Marietta, GA. The record was last updated on Aug 10, 2009.