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Individual

DR. MARK A PLUNKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. OB/GYN

Contact information

Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2605
Mailing address
PO BOX 9186, WVU DEPT OF OBSTETRICS AND GYNECOLOGY, MORGANTOWN, WV 26506-9186
(304) 293-5631
(304) 293-2131

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
70932
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200377920
IN
Enumeration date
05/17/2006
Last updated
06/02/2021
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