Provider Demographics
NPI:1871225300
Name:MARION & ASSOCIATES FAMILY CARE
Entity Type:Organization
Organization Name:MARION & ASSOCIATES FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PKANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARION
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:205-767-9992
Mailing Address - Street 1:PO BOX 1395
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-1395
Mailing Address - Country:US
Mailing Address - Phone:205-767-9992
Mailing Address - Fax:
Practice Address - Street 1:715 PEACHTREE ST NE STE 100&200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2177
Practice Address - Country:US
Practice Address - Phone:205-767-9992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty