BRYAN DEMARCO NPI 1629108964

NPI Information

NPI: 1629108964
Provider Name: BRYAN DEMARCO
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
3969 S COBB DR SE
SUITE 206
SMYRNA, GA
ZIP 30080
Phone: (770) 432-5326
Get Directions

BRYAN DEMARCO is a gynecology obstetrics gynecology in Smyrna, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee BRYAN DEMARCO NPI is 1629108964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3969 S COBB DR SE
SUITE 206
SMYRNA, GA
ZIP 30080-358
Phone: (770) 432-5326
Fax: (770) 432-5740

The provider's authorized official is Bryan J. De Marco .
The authorized official title is Member and has the following contact phone number (770) 432-5326.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	030987	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16BBCDH	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	D29273	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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