Most Relevant Information
Provider Data
| NPI Number: | 1003667965 |
| Provider Name: | MARISELA RAE PLASCENCIA DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2024 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
1500 OGLETHORPE AVE STE 200D
ATHENS
GA
306062165
Practice Location Phone/Fax
| Phone: | 7063893875 |
| Fax: | 7063893876 |
Provider Mailing Location
1230 BAXTER ST
ATHENS
GA
306063712
Provider Mailing Phone/Fax
| Phone: | 7063893680 |
| Fax: | 7063893861 |