Brenda L Marino
Neonatal-Perinatal Doctor
677 Church St Hospital Based Only Kennestone Wellstar
Marietta
, Georgia 30060
Brenda L Marino
Neonatal-Perinatal Doctor
677 Church St Hospital Based Only Kennestone Wellstar
Marietta
, Georgia 30060
(770) 427-3653
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Brenda L Marino
- Po Box 4214
- Marietta, GA
- Zip : 30061
- Fax : (770) 427-3653
- Phone : (770) 427-4800
Second Address
- Brenda L Marino
- 677 Church St Hospital Based Only Kennestone Wellstar
- Marietta, GA
- Zip : 30060
- Fax : (770) 793-9925
- Phone : (770) 779-3603
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 016392 | GA |
National Provider Identifier
| NPI | 1023059581 |
|---|---|
| Provider Name | Brenda L Marino |
| First Address | Marietta, GA 30061 |
| Second Address | Marietta, GA 30060 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00088646B | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.