Individual provider · Type 1 NPI

Marissa Maatallah

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1922921147 Active

Practice location

250 Georgia Ave SE Ste 206
Atlanta, GA 30312-3000

Call (404) 653-0374 Map

Fax (404) 653-0375

Mailing address

9105 Brixworth Pl NE
Brookhaven, GA 30319-5336

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922921147

Marissa Maatallah's National Provider Identifier is 1922921147, issued on Aug 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 3, 2026.