Marina Paul, NP
Nurse Practitioner, Primary Care in Decatur, GA. Individual provider (NPI-1).
NPI number1700409554
StatusActive
Last updated in NPPESMay 27, 2020
Details
- NPI
- 1700409554
- Entity type
- Individual (NPI-1)
- Name
- Marina Paul
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2020
- Certification date
- May 27, 2020
- Last updated
- May 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | RN173004 | GA | Yes |
Practice location
1670 Clairmont RdDecatur, GA 30033-4004
Phone 404-321-6111
Mailing address
2185 Glenhurst DrSnellville, GA 30078-6781
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