Individual
PROF. JOHN MARK LIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.M.SC. , PA-C
Contact information
Practice address
101 REGENCY PARK DR STE 110, MCDONOUGH, GA 30253-7076
(404) 996-0126
(678) 432-2626
Mailing address
3576 HIGHWAY 138 SE, STOCKBRIDGE, GA 30281-7909
(770) 474-7448
(770) 474-7194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002952
GA
Other
Enumeration date
12/07/2005
Last updated
10/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us