IndividualActive
Marc Pupo, RN
NPI 1629007596 · Emergency Registered Nurse · Decatur, GA
Provider details
- NPI number
- 1629007596
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN107131 (GA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
Practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2086
Loganville, GA 30052-1918
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2010-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.