Marina, Jaza Monique
Marina, Jaza Monique is an individual health care provider with primary practice located at 2525 Cumberland Parkway Kaiser Permanente Cumberland Medical Center, Atlanta GA 30339. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Marina, Jaza Monique can be contacted via phone (770) 431-4107.Contact Information
Primary practice address
2525 Cumberland Parkway Kaiser Permanente Cumberland Medical Center
Atlanta GA 30339
Phone: (770) 431-4107
Fax: (770) 431-4373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 055267 | Georgia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 055267 | Georgia |
Profile Details
| NPI number | 1508977299 |
|---|---|
| LBN Legal business name | Marina, Jaza Monique |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 29th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508977299 | NPPES |
| Georgia | Other | 387570 | BCBS - EAMC |
| Georgia | Other | 783527 | BCBS - EAMC |
| Georgia | MEDICAID | 389254619C | BCBS - EAMC |
| Georgia | MEDICAID | 389254619A | BCBS - EAMC |
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