Duffield, Mark S.
Duffield, Mark S. is an individual health care provider with primary practice located at 3672 Marathon Cir Suite 200, Austell GA 30106-6821. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Duffield, Mark S. can be contacted via phone (770) 944-3303.Contact Information
Primary practice address
3672 Marathon Cir Suite 200
Austell GA 30106-6821
Phone: (770) 944-3303
Fax: (770) 944-0285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 038740 | Georgia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 038740 | Georgia |
Profile Details
| NPI number | 1881697803 |
|---|---|
| LBN Legal business name | Duffield, Mark S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Nov 14th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881697803 | NPPES |
| Georgia | MEDICAID | 00622905B |
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