Otis Prestige
Otis Prestige is a Family Medicine Physician in Marietta, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
109 Anderson St SE Ste 200AMarietta, GA 30060-8610
Phone: (470) 301-8528
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Specialties & licences
| Infectious Disease Physician (primary) | Taxonomy 207RI0200X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1992431753 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Damian Drago — Administrator · (470) 301-8528 |
| NPI enumerated | July 25, 2022 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
| Mailing address | 55 Atlanta St Se Ste 101, Marietta, GA 30060-1977 |
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