Individual
DR. MARK PATRICK HARTIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3949 HOLCOMB BRIDGE RD, SUITE 200, NORCROSS, GA 30092-2207
(678) 549-0268
(770) 640-6853
Mailing address
3270 ARBORWOODS DR, ALPHARETTA, GA 30022-5282
(678) 549-0268
(770) 640-6853
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1501
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00490168A
—
GA
Enumeration date
03/03/2007
Last updated
07/09/2007
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