Kevin L Marler

Individual provider Active NPI Computed Tomography Radiologic Technologist · Sharpsburg, GA

NPI 1942521067 · NPPES record last updated Jun 14, 2010

Key facts

NPI
1942521067
Entity type
Individual (NPI type 1)
Primary specialty
Computed Tomography Radiologic Technologist 2471C3401X
License
208437171 (GA)
Practice address
21 Golden CT
Sharpsburg, GA 30277-2367
Phone
(770) 841-3048
Fax
(678) 802-1867
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
208437171GAMDComputed Tomography Radiologic Technologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X 208437171 GA Yes

Addresses

Primary practice location

21 Golden CT
Sharpsburg, GA 30277-2367

Mailing address

21 Golden CT
Sharpsburg, GA 30277-2367
Phone (770) 841-3048

Other providers in Sharpsburg, GA

All providers in Sharpsburg, GA · Computed Tomography Radiologic Technologist in Georgia

Sources for this page

Verify at the official NPI Registry.