Individual
DR. MARK LOUIS MERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2349 LAWRENCEVILLE HWY, DECATUR, GA 30033-3143
(404) 320-1550
(404) 728-1081
Mailing address
PO BOX 116470, ATLANTA, GA 30368-6470
(770) 682-2080
(678) 579-9398
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
039178
GA
2085R0001X
Radiation Oncology Physician
Primary
39178
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165022770C
—
GA
Enumeration date
12/05/2005
Last updated
11/03/2015
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