Individual
MARK R HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 MEDICAL ARTS PLACE, SUITE 3, SANDERSVILLE, GA 31082
(478) 552-0967
(478) 552-8541
Mailing address
203 MEDICAL ARTS PLACE, SUITE 3, SANDERSVILLE, GA 31082
(478) 552-0967
(478) 552-8541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033984
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00456079A
—
GA
Enumeration date
08/30/2006
Last updated
03/08/2010
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