Galan, Marissa Marie

Galan, Marissa Marie is an sole proprietor health care provider with primary practice located at 1365 Rock Quarry Rd Ste 202 , Stockbridge GA 30281-5023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Galan, Marissa Marie can be contacted via phone (770) 771-6580.

Contact Information

Primary practice address
1365 Rock Quarry Rd Ste 202 Stockbridge GA 30281-5023
Phone: (770) 771-6580
Fax: (770) 771-6589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN268489 Georgia

Profile Details

NPI number 1235742503
LBN Legal business name Galan, Marissa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2020
Last updated Aug 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235742503 NPPES
Georgia Other RN268489 STATE LICENSE #

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