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Prohbo - Marietta LLC

NPI #1417996844 in Marietta, Georgia

Provider Information

NPI Number
1417996844
Entity Type
Organization
Organization Name
Prohbo - Marietta LLC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Jun 4, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1455 BELLS FERRY RD
Address 2
SUITE 100
City
Marietta
State
Georgia
ZIP Code
30066-6078
Phone
(770) 421-8094

Authorized Official

Name
MR. CHRISTOPHER GRANT
Title
OWNER
Phone
(770) 421-8094

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-Specialty — Multi-Specialty

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