Individual
MARK C BECKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236-2500
(770) 603-3614
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042998
GA
Other
Enumeration date
05/25/2006
Last updated
01/13/2022
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