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Contact Information

BRENDA L MARINO, MD
677 CHURCH ST
HOSPITAL BASED ONLY KENNESTONE WELLSTAR
MARIETTA, GA30060
 Phone: 770-779-3603
 Fax: 770-793-9925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRENDA L MARINO · (Female)

NPI Number 1023059581
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 016392
  • GA Medicaid 00088646B
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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