Most Relevant Information
Provider Data
| NPI Number: | 1003503087 |
| Provider Name: | MARIAN J MARRERO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 11500 |
Most Important Dates
| Enumeration Date: | 04/20/2023 |
| Last Updated: | 06/08/2023 |
Provider Practice Location
586 BRANNEN ST
STATESBORO
GA
304585557
Practice Location Phone/Fax
| Phone: | 9128716611 |
| Fax: |
Provider Mailing Location
586 BRANNEN ST
STATESBORO
GA
304585557
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |