Healthcare Provider Details

I. General information

NPI: 1275373037
Provider Name (Legal Business Name): MARAN HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 MACON ST STE 5
MCDONOUGH GA
30253-3221
US

IV. Provider business mailing address

1203 WALKER CT
MCDONOUGH GA
30252-8556
US

V. Phone/Fax

Practice location:
  • Phone: 470-220-0621
  • Fax: 229-485-1588
Mailing address:
  • Phone: 470-220-0621
  • Fax: 229-485-1588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARILYN ELIZABETH RANKIN
Title or Position: CLINICAL DIRECTOR/OWNER
Credential: NP
Phone: 216-212-8779