Individual
MARK E DOROGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 W GORDON ST, SUITE C, THOMASTON, GA 30286-3480
(706) 646-5712
(706) 647-5111
Mailing address
612 W GORDON ST, SUITE C, THOMASTON, GA 30286-3480
(706) 646-5712
(706) 647-5111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
041105
GA
207RI0011X
Interventional Cardiology Physician
041105
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000692755A
—
GA
Enumeration date
06/15/2006
Last updated
08/24/2016
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