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Contact Information

DRACO GROUP OF MARIETTA, INC.
3020 ROSWELL RD STE 216-A
MARIETTA, GA30062-4996
 Phone: 678-819-3936
 Fax: 678-819-3943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DRACO GROUP OF MARIETTA, INC.

NPI # 1184810913
LBN Legal business name DRACO GROUP OF MARIETTA, INC.
Authorized official BERNARDO MATOS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2007
Last updated 09/14/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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