MEDICARE: WHOLE WOMEN'S CARE MD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1104777655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE WOMEN'S CARE MD, LLC

Provider Business Mailing Address
First Line	:	3901 MARY ELIZA TRCE NW STE 202
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-1096
Country	:	US
Telephone Number	:	770-282-4939
Fax Number	:	770-588-0960

Provider Business Practice Location Address
First Line	:	3901 MARY ELIZA TRCE NW STE 202
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-1096
Country	:	US
Telephone Number	:	770-855-1508
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING MEMBER
Name	:	DR. MARIA MISCHELLE CASIANO
Credential	:	MD
Telephone Number	:	770-855-1508

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	06/12/2026

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