Organization
MARK S MCCRACKEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEPHEN MCCRACKEN MD (OWNER)
(912) 764-7900
Entity
Organization
Contact information
Practice address
23 LESTER RD, STATESBORO, GA 30458-4700
(912) 764-7900
(912) 489-3380
Mailing address
PO BOX 526, STATESBORO, GA 30459-0526
(912) 764-7900
(912) 489-3380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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