Individual
MARK D MONCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A, DULUTH, GA 30096
(770) 931-6012
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1736
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
035478
GA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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