Individual
DR. MARK JULIAN SCHWADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-7005
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12866
GA
207R00000X
Internal Medicine Physician
Primary
99236
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12866
GA RESIDENCY TRAINING PERMIT LICENSE NUMBER
GA
Enumeration date
06/04/2021
Last updated
06/20/2024
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