Individual
DR. MARK DEBRINCAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 FOOTHILLS PKWY, SUITE 103, MARBLE HILL, GA 30148-2261
(770) 894-4950
(770) 894-4951
Mailing address
924 HIDDEN COVE DR, BALL GROUND, GA 30107-5742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582522218
TAX ID
GA
Enumeration date
03/26/2007
Last updated
07/08/2007
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