Ling, Mark Russell

Ling, Mark Russell 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. Ling, Mark Russell 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 034647 Georgia
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 034647 Georgia

Profile Details

NPI number 1639153638
LBN Legal business name Ling, Mark Russell
Credentials M.D., PH.D.
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639153638 NPPES
Georgia Other 4279563008 CIGNA HMO
Georgia Other 0390142 CIGNA HMO
Georgia Other 070012632 CIGNA HMO
Georgia Other 2117569 CIGNA HMO
Georgia MEDICAID 00469246C CIGNA HMO
Georgia Other 4318069 CIGNA HMO

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