Doctor Name: | MR. KEVIN L MARLER |
NPI Number: | 1942521067 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 208437171 |
Business Practice Address: | 21 Golden Ct Sharpsburg, GA - 302772367 |
Business Phone Number: | 7708413048 |
Business Fax Number: | 6788021867 |
Mailing Address: | 21 Golden Ct, SHARPSBURG |
State: | GA |
Postal Code: | 302772367 |
Phone Number: | 7708413048 |
Fax Number: | 6788021867 |
NPI Enumeration Date: | 06/14/2010 |
NPI Last Update Date: | 06/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3401X |
License Number: | 208437171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Computed Tomography |
Taxonomy Definition: |