Provider Demographics
NPI:1457519019
Name:HOWARD, MARION ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:ELLEN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:404-525-2957
Practice Address - Street 1:200 CRESCENT CENTRE PARKWAY
Practice Address - Street 2:KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:770-496-3625
Practice Address - Fax:404-525-2957
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
GA003276207R00000X
GA066507207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program