Individual
MR. MARK J SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
Mailing address
209 PEACHTREE WAY NE, ATLANTA, GA 30305-3739
(484) 620-9987
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
84983
GA
207RI0011X
Interventional Cardiology Physician
84983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14626767
CAQH
—
Enumeration date
03/21/2012
Last updated
10/25/2023
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