Marietta Diagnostic Center, Llc

NPI 1154371805 - Clinic/Center - 261QR0200X

NPI Details
NPI 1154371805
Enumeration Date 05/12/2006
Last Updated 04/25/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIKE MIKE
Position CEO
Phone (770) 792-1234
Fax (770) 424-1194
Practice Location
780 CANTON ROAD NE
SUITE 230
MARIETTA GA, 30060-8928, US
Phone (770) 792-1234
Fax (770) 424-1194
Business Location
780 CANTON ROAD NE
SUITE 230
MARIETTA GA, 30060-8928, US
Phone (770) 792-1234
Fax (770) 424-1194
Toxanomy
Taxonomy Code 261QR0200X
License State
License Number
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According to our database, Marietta Diagnostic Center, Llc NPI is 1154371805, taxonomy code is 261QR0200X Marietta Diagnostic Center, Llc physically located at 780 Canton Road Ne, Marietta GA, 30060-8928. NPI Number 1033115704 has the healthcare provider type.

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1154371805 NPI number is provided on an as is basis without warranty of any kind. 1154371805 is maintained by the National Plan & Provider Enumeration System. The contents of Marietta Diagnostic Center, Llc are for informational purposes only.