Individual
DR. NJE SERETSE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-7550
(478) 633-3235
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 371-5765
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
002082
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002082
EMORY SCHOOL OF MEDICINE
GA
Enumeration date
01/29/2008
Last updated
02/10/2010
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