Individual
MARK JAY HOLZBERG
Active
Individual
MARK JAY HOLZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
029001
GA
207NS0135X
Procedural Dermatology Physician
Primary
029001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000310043I
—
GA
01
—
0306450
UHC
GA
01
—
0403543006
CIGNA HMO
GA
01
—
070012762
RAILROAD MEDICARE
GA
01
—
2034373
AETNA HMO
GA
01
—
4118834
ATENA NON-HMO
GA
Enumeration date
12/02/2005
Last updated
03/31/2023
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