Lafferty, Mark A
Lafferty, Mark A is an sole proprietor health care provider with primary practice located at 233 N Houston Rd Suite 143 H, Warner Robins GA 31093-3074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lafferty, Mark A can be contacted via phone (478) 923-2229.Contact Information
Primary practice address
233 N Houston Rd Suite 143 H
Warner Robins GA 31093-3074
Phone: (478) 923-2229
Fax: (888) 456-6653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 035676 | Georgia |
Profile Details
| NPI number | 1912940990 |
|---|---|
| LBN Legal business name | Lafferty, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 20th, 2012 - about 13 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 | 1912940990 | NPPES |
| Georgia | MEDICAID | 00627305C |
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