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Individual

MARK VRANICAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1446 HARPER ST FL 6, AUGUSTA, GA 30912-0001
(706) 721-8522
Mailing address
1120 15TH ST # BA8305, AUGUSTA, GA 30912-0004
(706) 721-2336

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
36423
KY
2080P0202X
Pediatric Cardiology Physician
Primary
89693
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64026792
KY
Enumeration date
07/13/2006
Last updated
06/11/2025
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