# MARK G HEBERT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831268630
- **Gender:** Man
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN116170 | GA | Yes |
| 363L00000X | Nurse Practitioner | RN116170 NP | GA | — |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 208628511A | — | GA |
| 05 | — | 702601976A | — | GA |