Individual
DR. MARK WILLIAM MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 PRESTON RIDGE RD STE 100, ALPHARETTA, GA 30005-4509
(770) 350-0126
(770) 350-6637
Mailing address
#1107, 3344 COBB PARKWAY STE 200, ACWORTH, GA 30102
(770) 350-0126
(770) 515-9502
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
043704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000895771H
—
GA
05
—
000895771I
—
GA
05
—
000895771J
—
GA
05
—
000895771K
—
GA
05
—
000895771L
—
GA
05
—
000895771M
—
GA
05
—
000895771N
—
GA
01
—
92BBGBV
MEDICARE PROVIDER ID
GA
Enumeration date
06/03/2006
Last updated
11/25/2022
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