J Marseille Management, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

65098 Issued in GA

Legal business name

J MARSEILLE MANAGEMENT, INC.

Practice address

3440 Blue Springs Rd NW
301
Kennesaw, GA 30144-1030

Phone

(770) 693-6974

NPI assigned

Feb 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Johnny Marseille

Title

Owner

Phone

(754) 366-0821

Specialties & licenses 1

Addresses

Other names 1

• Physicians Choice Rejuvenation Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1962709493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E OAKLAND PARK BLVD",
            "address_2": "501",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342148",
            "telephone_number": "754-366-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 BLUE SPRINGS RD NW",
            "address_2": "301",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441030",
            "telephone_number": "770-693-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MARSEILLE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "MARSEILLE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-366-0821"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "65098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Choice Rejuvenation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Irby, CERT. FIRST ASSIST
• Jetoria Irving
• Maha Islam
• Lindsey Isley
• Madison Margaret Iuliano, DC
• Amber Kay Jackson, DC
• Ashley Jackson, PH.D.
• Breiane Jackson, LICENSED CPHT
• Darryl Maurice Jackson
• Jadah Jackson

• Internal Medicine Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.