Provider Demographics
NPI:1225378714
Name:PAZANT, MARSHIKA
Entity Type:Individual
Prefix:
First Name:MARSHIKA
Middle Name:
Last Name:PAZANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 INDUSTRIAL WAY
Mailing Address - Street 2:STE 300
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-4963
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3205 INDUSTRIAL WAY
Practice Address - Street 2:STE 300
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4963
Practice Address - Country:US
Practice Address - Phone:770-369-4013
Practice Address - Fax:678-222-0146
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)