Individual
DR. MARK ALAN KOZINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 N PARK PL STE 200, STOCKBRIDGE, GA 30281-7209
(678) 289-7960
Mailing address
3537 KNOLLWOOD DR NW, ATLANTA, GA 30305-1021
(404) 231-1187
(404) 364-9374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16005
GA
2084N0400X
Neurology Physician
Primary
016005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000149949V
—
GA
Enumeration date
02/06/2006
Last updated
07/15/2019
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