Individual
MARK LELLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-5076
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-5076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
84961
GA
208M00000X
Hospitalist Physician
Primary
84961
GA
Other
Enumeration date
04/04/2017
Last updated
02/15/2022
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