MEDICARE: DR. JEFFREY ALAN MARCUS M.D.

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	207V00000X	Obstetrics & Gynecology Physician	037283	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851393482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ALAN MARCUS M.D.

Provider Business Mailing Address
First Line	:	5780 PEACHTREE DUNWOODY ROAD
Second Line	:	SUITE 300
City	:	ATLANTA
State	:	GA
Zip	:	30342-1513
Country	:	US
Telephone Number	:	404-303-1224
Fax Number	:	404-303-1325

Provider Business Practice Location Address
First Line	:	4800 OLDE TOWNE PKWY
Second Line	:	SUITE 150
City	:	MARIETTA
State	:	GA
Zip	:	30068-4357
Country	:	US
Telephone Number	:	770-977-1510
Fax Number	:	770-509-8858

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	03/23/2017

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Directions to “ DR. JEFFREY ALAN MARCUS M.D.” Practice Location

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