Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marc A Tanenbaum, MD

Individual provider Pediatrics Physician · NPI 1629022744

Marc A Tanenbaum, MD is a Pediatrics Physician in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6300 Powers Ferry Rd Ste 600 Pob 200
Atlanta, GA 30339-2961
Phone: (404) 654-0426
Fax: (678) 806-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 019429 (GA)

Record details

NPI number1629022744
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 22, 2006
Last updated in NPPESApril 28, 2010
Mailing address6300 Powers Ferry Road, Suite 600, Pob #202, Atlanta, GA 30339-2961

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