Individual
DR. MARK P CRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1449 BRAMPTON AVE, STATESBORO, GA 30458
(912) 871-2900
(912) 871-2903
Mailing address
1449 BRAMPTON AVE, STATESBORO, GA 30458-0854
(912) 871-2900
(912) 871-2903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000750329B
—
GA
Enumeration date
09/17/2005
Last updated
09/17/2020
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