Doctor Name: | DR. MARIELLE ARRIEH JOHARY |
NPI Number: | 1134330749 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 43857 |
Business Practice Address: | 1320 Center Dr Suite 100 Dunwoody, GA - 303384130 |
Business Phone Number: | 7707308908 |
Business Fax Number: | |
Mailing Address: | 780 Aran Dr, ROSWELL |
State: | GA |
Postal Code: | 300765129 |
Phone Number: | 7706455044 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 43857 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |