Organization
MARK E. CRISPIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ELLISTON CRISPIN M.D. (OWNER)
(404) 257-0064
Entity
Organization
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, SUITE 100, ATLANTA, GA 30342-1731
(404) 257-0064
(404) 257-1568
Mailing address
5673 PEACHTREE DUNWOODY RD NE, SUITE 100, ATLANTA, GA 30342-1731
(404) 257-9888
(404) 257-1568
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
032163
GA
Other
Enumeration date
01/02/2008
Last updated
06/09/2022
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