Kozinn, Mark Alan

Kozinn, Mark Alan is an sole proprietor health care provider with primary practice located at 135 N Park Pl Ste 200 , Stockbridge GA 30281-7209. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kozinn, Mark Alan can be contacted via phone (678) 289-7960.

Contact Information

Primary practice address
135 N Park Pl Ste 200 Stockbridge GA 30281-7209
Phone: (678) 289-7960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16005 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 016005 Georgia

Profile Details

NPI number 1184696973
LBN Legal business name Kozinn, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Jul 15th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184696973 NPPES
Georgia MEDICAID 000149949V

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