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Individual

MARK H DUPUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309
(404) 605-3247
(404) 609-6645
Mailing address
PO BOX 491028, LAWRENCEVILLE, GA 30049
(404) 605-3247
(404) 609-6645

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
026258
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
026258
GA

Other

Enumeration date
03/23/2006
Last updated
07/25/2009
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