Individual
MARK AHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-9104
(434) 924-9400
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL31029
SC
207U00000X
Nuclear Medicine Physician
Primary
0101285373
VA
207U00000X
Nuclear Medicine Physician
93832
GA
2085R0202X
Diagnostic Radiology Physician
0101285373
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8495
AMERICAN BOARD OF NUCLEAR MEDICINE, INC.
GA
Enumeration date
06/25/2008
Last updated
07/21/2025
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