Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C10011417 | DE |
Y | 2080P0205X | Pediatric Endocrinologist | MD046937 | DC |
NPI | 1487944757 |
---|---|
Provider Name | Brynn Elizabeth Marks |
First Address | Atlanta, GA 30374-4785 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 13/06/2019 |