| Doctor Name: | MARION MCCAULEY EARNHARDT |
| NPI Number: | 1265477186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 003245 |
| Business Practice Address: | 5115 New Peachtree Rd Suite 202 Chamblee, GA - 303413326 |
| Business Phone Number: | 6786722177 |
| Business Fax Number: | |
| Mailing Address: | 2650 Gentry Walk Ct, CUMMING |
| State: | GA |
| Postal Code: | 300417484 |
| Phone Number: | 7707221940 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 03/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 003245 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |