Earhart, Mark Alan

Earhart, Mark Alan is an individual health care provider with primary practice located at 1747 Langford Dr Bldg 400-105 , Watkinsville GA 30677-7370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Earhart, Mark Alan can be contacted via phone (706) 769-1100.

Contact Information

Primary practice address
1747 Langford Dr Bldg 400-105 Watkinsville GA 30677-7370
Phone: (706) 769-1100
Fax: (706) 310-9847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 043361 Georgia

Profile Details

NPI number 1073536439
LBN Legal business name Earhart, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 11th, 2016 - about 9 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.

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