Organization
MARK A CODNER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CODNER (PHYSICIAN)
(404) 351-4151
Entity
Organization
Contact information
Practice address
1800 HOWELL MILL RD NW STE 140, ATLANTA, GA 30318-2538
(404) 351-4151
(404) 351-4152
Mailing address
1800 HOWELL MILL RD NW STE 140, ATLANTA, GA 30318-2538
(404) 351-4151
(404) 351-4152
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
035592
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035592
STATE LICENSE
—
Enumeration date
04/21/2010
Last updated
03/18/2011
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