Individual
MARK A HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5730 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5579
(404) 256-1844
(404) 252-5642
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
030080
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000376164B
—
GA
01
—
340008500
RAILROAD MEDICARE
GA
Enumeration date
09/02/2006
Last updated
03/07/2023
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