Provider Demographics
NPI:1982794772
Name:HARRIGAN, MARC J (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:J
Last Name:HARRIGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3280 HOWELL MIL ROAD N.W. SUITE 207
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4100
Mailing Address - Country:US
Mailing Address - Phone:404-355-7055
Mailing Address - Fax:404-355-0606
Practice Address - Street 1:CONCIERGE MEDICINE OF BUCKHEAD
Practice Address - Street 2:3280 HOWELL MILL ROAD N.W SUITE 207
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-4100
Practice Address - Country:US
Practice Address - Phone:404-355-7055
Practice Address - Fax:404-355-0606
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2024-04-26
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Provider Licenses
StateLicense IDTaxonomies
GA056719207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I080178OtherMEDICARE