Provider Demographics
NPI:1750497343
Name:EHRET, MARA B (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARA
Middle Name:B
Last Name:EHRET
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3390 PEACHTREE NERD 1500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-2822
Mailing Address - Country:US
Mailing Address - Phone:404-920-4972
Mailing Address - Fax:404-920-4959
Practice Address - Street 1:1388 A WELLBROOK CIRCLE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3872
Practice Address - Country:US
Practice Address - Phone:770-929-9033
Practice Address - Fax:770-929-9092
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2015-07-15
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Provider Licenses
StateLicense IDTaxonomies
GA003621363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical