Healthcare Provider Details

I. General information

NPI: 1962450825
Provider Name (Legal Business Name): MARION E SCHERTZER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 MERIDIAN MARKS RD STE 180
ATLANTA GA
30342-4755
US

IV. Provider business mailing address

1505 NORTHSIDE BLVD 2900
CUMMING GA
30041-8209
US

V. Phone/Fax

Practice location:
  • Phone: 770-277-4277
  • Fax: 404-252-5745
Mailing address:
  • Phone: 770-277-4277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number037361
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: