Individual
DR. MARK T MESSENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1043 WASHINGTON RD, THOMSON, GA 30824-7318
(706) 597-0102
(706) 597-1998
Mailing address
1043 WASHINGTON RD, THOMSON, GA 30824-7318
(706) 597-0102
(706) 597-1998
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000701511E
—
GA
05
—
GRP433
—
GA
01
—
GRP4355
MEDICARE
GA
Enumeration date
08/19/2005
Last updated
12/14/2016
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