Individual
MARK P VISITACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 OGLETHORPE AVE STE 200D, ATHENS, GA 30606-2165
(706) 559-4405
(706) 559-4773
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3955
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
65514
GA
Other
Enumeration date
10/03/2007
Last updated
03/05/2026
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