Individual
DR. MARK JEROME PARADELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 3200, ATHENS, GA 30606-2179
(706) 549-8931
(706) 549-0088
Mailing address
1500 OGLETHORPE AVE, SUITE 3200, ATHENS, GA 30606-2179
(706) 549-8931
(706) 549-0088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000937736D
—
GA
Enumeration date
11/15/2005
Last updated
09/24/2008
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