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Contact Information

ANTHONY MARCHETTI
1514 VERNON ROAD
LAGRANGE, GA30240
 Phone: 706-845-3706
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ANTHONY MARCHETTI · (Male)

NPI Number 1174622153
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 031471
  • GA Medicaid 000430559K
Hospital affiliation(s)
  • UPSON REGIONAL MEDICAL CENTER - (Acute Care)
    801 W GORDON STREET
    THOMASTON, GA 30286
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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