Individual
DR. IAN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 NEWNAN STATION DR STE A, NEWNAN, GA 30265-3194
(770) 251-2060
(678) 854-9235
Mailing address
PO BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
032612
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
032612
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000427655A
—
GA
Enumeration date
05/04/2006
Last updated
04/16/2015
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