MARLO H PRIVITERA


Address: 3595 Canton Rd, Marietta, GA 30066-2658
Phone: 7709247972

MARLO H PRIVITERA (NPI# 1609400878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609400878
Entity Type Individual
Full Name MARLO H PRIVITERA
Practice Address 3595 Canton Rd
Marietta
GA 30066-2658
Practice Telephone 7709247972
Practice Fax Number 7709246063
Mailing Telephone 7709247972
Mailing Fax Number 7709246063
Enumeration Date 2020-02-26
Last Update Date 2020-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH018006 GA Pharmacy Service Providers

Office Location

Street Address 3595 CANTON RD
City MARIETTA
State GA
Zip Code 30066-2658

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457376139 The Kroger Co Durable Medical Equipment & Medical Supplies 3595 Canton Rd, Marietta, GA 30066-2658 2006-07-13
1124650379 Laurie Liebherr Eads Pharmacist 3595 Canton Rd, Marietta, GA 30066-2658 2020-02-05
1780036806 Gamble Dentalsmart, PC Dentist 3595 Canton Rd, Marietta, GA 30066-2658 2016-07-13
1841659604 Life Empowerment Services Case Management 3595 Canton Rd, A9-320, Marietta, GA 30066-2658 2016-02-22
1124296553 Rae K. Pencek Occupational Therapist 3595 Canton Rd, Suite A9 321, Marietta, GA 30066-2658 2008-02-19
1659443083 Kristi Estes Occupational Therapist 3595 Canton Rd, Suite A9 #321, Marietta, GA 30066-2658 2006-11-14
1962588749 Sharilyn Rice Gugliotta Speech-Language Pathologist 3595 Canton Rd, Suite A9, #321, Marietta, GA 30066-2658 2006-10-27
1215024385 Rising Stars Children's Therapy, Inc. Occupational Therapist 3595 Canton Rd, Suite A9, #321, Marietta, GA 30066-2658 2006-10-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598253684 Comfort Community Center, LLC Skilled Nursing Facility 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 2018-04-25
1538681994 Passionate Care In Home Supportive Care 1110 Renfro Ln., Marietta, GA 30066 2017-07-07
1437510443 Steven Caras Internal Medicine 2682 Bonaire Terrace, Marietta, GA 30066 2016-03-18
1275918781 Latifat Bolajoko Asemota Nurse Practitioner 410 Nottingham Dr, Marietta, GA 30066 2015-07-26
1497094205 Changing Phases Behavioral Support, Inc Internal Medicine 3655 Canton Rd Ste 201, Marietta, GA 30066 2013-02-14
1659618916 Alison Nicole Sims Occupational Therapist 2465 Canopy Drive, Marietta, GA 30066 2013-01-07
1790044907 Antoine Jose Davenport Massage Therapist 4686 Jamerson Creek Dr, Marietta, GA 30066 2012-05-08
1174898548 Angel Elizabeth Nofziger Nurse Practitioner 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 2012-03-18
1912298019 Nancy Jean Slack Pharmacist 2833 Canton Road, Marietta, GA 30066 2011-04-22
1336456078 Mario B Miller Sr. Chiropractor 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 2010-09-01
Find all providers in zip 30066

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073132676 Khushboo S Rhodes Pharmacist 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 2020-04-14
1265063143 Ravi Kumar Kolluri Pharmacist 2753 Stone Hall Dr, Marietta, GA 30062-5061 2020-01-30
1629594049 Andrew D Quach Pharmacist 3605 Sandy Plains Rd Ste 200, Marietta, GA 30066-3066 2017-08-17
1437608742 Houda Aboujamous Pharmacist 958 Chestnut Hill Rd Sw, Marietta, GA 30064-2955 2016-09-27
1306445382 Katherine L Antoniades Pharmacist 4880 Lower Roswell Rd, Marietta, GA 30068-4375 2020-10-21
1639777147 Valerie Elise Neesmith Pharmacist 3162 Johnson Ferry Rd, Marietta, GA 30062-7604 2020-10-16
1871191635 Sarah Murihia Pharmacist 1122 Powers Ferry Rd Se, Marietta, GA 30067-5753 2020-10-14
1760080642 Gabrielle Horne Pharmacist 1000 Whitlock Ave Nw, Marietta, GA 30064-5455 2020-10-13
1629686134 Annie Lee Pharmacist 4880 Lower Roswell Rd, Marietta, GA 30068-4375 2020-07-21
1750917761 Elizabeth Carpenter Pharmacist 2100 Roswell Rd, Marietta, GA 30062-0810 2020-03-21
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30066

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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