Prescott, Marcia Anne

Prescott, Marcia Anne is an sole proprietor health care provider with primary practice located at 1111 Bakers Bridge Rd , Douglasville GA 30134. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prescott, Marcia Anne can be contacted via phone (770) 947-2311.

Contact Information

Primary practice address
1111 Bakers Bridge Rd Douglasville GA 30134
Fax: (770) 947-2347
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002767 Georgia

Profile Details

NPI number 1174676803
LBN Legal business name Prescott, Marcia Anne
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Aug 9th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174676803 NPPES
Georgia MEDICAID 047483820A

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