Holzberg, Mark Jay
Holzberg, Mark Jay is an individual health care provider with primary practice located at 710 Newnan Crossing Bypass Suite A, Newnan GA 30263-2321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Holzberg, Mark Jay can be contacted via phone (770) 251-5111.Contact Information
Primary practice address
710 Newnan Crossing Bypass Suite A
Newnan GA 30263-2321
Phone: (770) 251-5111
Fax: (770) 254-8680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 029001 | Georgia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 029001 | Georgia |
Profile Details
| NPI number | 1669456661 |
|---|---|
| LBN Legal business name | Holzberg, Mark Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Mar 31st, 2023 - about last year |
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 | 1669456661 | NPPES |
| Georgia | Other | 0306450 | UHC |
| Georgia | MEDICAID | 000310043I | UHC |
| Georgia | Other | 4118834 | UHC |
| Georgia | Other | 0403543006 | UHC |
| Georgia | Other | 2034373 | UHC |
| Georgia | Other | 070012762 | UHC |
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