Local City Search for Nurses, Advanced Nurse Practitioners, Physician Assistants and Care FacilitiesMARK G HOUSTON PA
Nursing Yellow Pages
Atlanta, Georgia
Provider NPI: 1972540078
Provider Information:MARK G HOUSTON PA
Practice Location:
303 PARKWAY DR NE PMB 404 ATLANTA, GA 30312 US
Tel: 404-265-4520 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 003355 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| WELLCARE MEDICAID | N342434 | GA | 01 |
| RAILROAD MEDICARE | P00351876 | 01 | |
| NPI | 1972540078 | GA | 01 |
| 100001936B | GA | 05 | |
| GROUP NPI | 1982637419 | GA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
