MEDICARE: DR. MARC J HARRIGAN MD

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	207Q00000X	Family Medicine Physician	056719	GA

General Provider Information

NPI Number	:	1982794772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC J HARRIGAN MD

Provider Business Mailing Address
First Line	:	3280 HOWELL MIL ROAD N.W. SUITE 207
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4100
Country	:	US
Telephone Number	:	404-355-7055
Fax Number	:	404-355-0606

Provider Business Practice Location Address
First Line	:	CONCIERGE MEDICINE OF BUCKHEAD
Second Line	:	3280 HOWELL MILL ROAD N.W SUITE 207
City	:	ATLANTA
State	:	GA
Zip	:	30327-4100
Country	:	US
Telephone Number	:	404-355-7055
Fax Number	:	404-355-0606

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	04/26/2024

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