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MARION MCCAULEY EARNHARDT P.A.

Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1265477186

Individual Registrant:
 MARION MCCAULEY EARNHARDT P.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5115 NEW PEACHTREE RD SUITE 202 CHAMBLEE, GA 30341-3326 US
Tel: 678-672-2177  Fax: --

Contact information for business:
2650 GENTRY WALK CT  CUMMING, GA 30041-7484 US
Tel: 770-722-1940  Fax: --

Registration Information:
NPI: 1265477186
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
GA003245

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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