Provider Demographics
NPI:1275373037
Name:MARAN HEALTHCARE LLC
Entity type:Organization
Organization Name:MARAN HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:216-212-8779
Mailing Address - Street 1:1203 WALKER CT
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-8556
Mailing Address - Country:US
Mailing Address - Phone:470-220-0621
Mailing Address - Fax:229-485-1588
Practice Address - Street 1:62 MACON ST STE 5
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3221
Practice Address - Country:US
Practice Address - Phone:470-220-0621
Practice Address - Fax:229-485-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty