Provider Demographics
NPI:1003084377
Name:MARCUS, SETH BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:BENJAMIN
Last Name:MARCUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993-D JOHNSON FERRY RD NE SUITE 440
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4780
Mailing Address - Country:US
Mailing Address - Phone:404-257-0799
Mailing Address - Fax:
Practice Address - Street 1:993-D JOHNSON FERRY RD NE SUITE 440
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4780
Practice Address - Country:US
Practice Address - Phone:404-257-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0540822080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology