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Contact Information

JAZA M MARINA, MD
2525 CUMBERLAND PARKWAY
KAISER PERMANENTE CUMBERLAND MEDICAL CENTER
ATLANTA, GA30339
 Phone: 770-431-4107
 Fax: 770-431-4373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAZA M MARINA · (Female)

NPI Number 1508977299
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 03/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 055267
  • GA Medicaid 389254619A
  • GA Medicaid 389254619C
  • GA Other 783527 BCBS - BCPHC
  • GA Other 387570 BCBS - EAMC
Hospital affiliation(s) Not Available
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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