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General NPI Number Information
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NPI Number | 1275408395
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Entity Type | Organization
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Legal Business Name | RSPS MARIETTA ASC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3939 ROSWELL RD STE 350
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City | MARIETTA
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State | GA
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Zip | 30062-6226
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Country | US
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Telephone | 404-618-0995
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Fax |
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Provider Business Mailing Address
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Address Line | 874 LANIER AVE W STE 250
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7662
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Country | US
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Telephone | 404-618-0995
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | ZWADE MARSHALL
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Credential | MD
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Telephone | 404-618-0995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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