Individual
DR. MARK H MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-5076
Mailing address
PO BOX 100460, ATLANTA, GA 30384-0460
(770) 410-4661
(770) 410-4664
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-48942
KS
208600000X
Surgery Physician
Primary
55154
GA
Other
Enumeration date
10/26/2005
Last updated
02/17/2026
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