Individual
ADRIAN MARK MOGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
042091
GA
208M00000X
Hospitalist Physician
042091
GA
208M00000X
Hospitalist Physician
42091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000789951M
—
GA
Enumeration date
08/23/2006
Last updated
03/05/2023
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