Individual
DR. MARY JO ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
758 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3385
(770) 962-4300
(770) 339-7544
Mailing address
758 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3385
(770) 962-4300
(770) 339-7544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
031693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000399286F
—
GA
05
—
000399286G
—
GA
Enumeration date
09/19/2005
Last updated
09/16/2009
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