Adult Medicine Of Marietta in Marietta - Internal Medicine

Adult Medicine Of Marietta - NPI 1710930300

Adult Medicine Of Marietta is a Internal Medicine in Marietta, Georgia. Adult Medicine Of Marietta practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Adult Medicine Of Marietta is 1710930300. The last update date is 2020-08-22.

Adult Medicine Of Marietta's current location address is 790 Church St Ne, Marietta, Georgia. You can contact this provider via phone number 6787978201 and fax number 6787978259. The mailing address for Adult Medicine Of Marietta is 790 Church St Ne, Marietta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Adult Medicine Of Marietta
Address 790 Church St Ne, Marietta, Georgia
Phone Number 6787978201
Fax Number 6787978259
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING MA
Authorized Official Name Rhoden Pam
Credentials RN
Telephone Number 6787978201

NPI Number Detail

NPI Number 1710930300
Provider Enumeration Date 2006-05-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 790 Church St Ne
City Marietta
State Georgia (GA)
Post Code 300607282
Phone Number 6787978201
Fax Number 6787978259

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
85002655G GA --

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FAQs about Adult Medicine Of Marietta

What is the Adult Medicine Of Marietta's 1710930300?

The Adult Medicine Of Marietta's NPI (National Provider Identifier) Number is 1710930300. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Adult Medicine Of Marietta's facilities are situated?

The facilities of Adult Medicine Of Marietta are physically located at the following address: 790 Church St Ne, Marietta, GA, 300607282.

What is Adult Medicine Of Marietta's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Adult Medicine Of Marietta is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Adult Medicine Of Marietta receive the assignment of its 1710930300 from the Centers for Medicare & Medicaid Services?

The Adult Medicine Of Marietta was issued its 1710930300 by the Centers for Medicare & Medicaid Services on 2006-05-18.

As of what date were the details related to Adult Medicine Of Marietta most recently updated or revised?

The information pertaining to Adult Medicine Of Marietta, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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