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Individual

MICHAEL EDWARD MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., P.H.D.

Contact information

Practice address
171 TOWN CENTER DR, SUITE MPS-6, ANNISTON, AL 36205-4101
(256) 847-3369
(256) 847-3469
Mailing address
1400 AFFLINK PL, SUITE 100, TUSCALOOSA, AL 35406-2289
(205) 366-9740
(205) 344-9992

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
14449
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136417
AL
Enumeration date
10/09/2006
Last updated
06/14/2012
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