Marina, Jaza Monique

Marina, Jaza Monique is an individual health care provider with primary practice located at 2525 Cumberland Parkway Kaiser Permanente Cumberland Medical Center, Atlanta GA 30339. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Marina, Jaza Monique can be contacted via phone (770) 431-4107.

Contact Information

Primary practice address
2525 Cumberland Parkway Kaiser Permanente Cumberland Medical Center Atlanta GA 30339
Phone: (770) 431-4107
Fax: (770) 431-4373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 055267 Georgia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 055267 Georgia

Profile Details

NPI number 1508977299
LBN Legal business name Marina, Jaza Monique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508977299 NPPES
Georgia Other 387570 BCBS - EAMC
Georgia Other 783527 BCBS - EAMC
Georgia MEDICAID 389254619C BCBS - EAMC
Georgia MEDICAID 389254619A BCBS - EAMC

Popular Providers