Mark J. Greenbaum, D.P.M., P.C.

LBN: Mark J. Greenbaum, D.P.M., P.C.
Mark J. Greenbaum, D.P.M., P.C. is an health care organization with primary practice located at 1835 Savoy Dr Ste 200 , Atlanta GA 30341-1073. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Mark J. Greenbaum, D.P.M., P.C. can be contacted via phone (770) 279-2900, or through Greenbaum, Mark J. via phone (770) 279-2900.

Contact Information

Primary practice address
1835 Savoy Dr Ste 200 Atlanta GA 30341-1073
Fax:
Website:
Authorized official contact:
Name: Greenbaum, Mark J. Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000611 Georgia

Profile Details

NPI number 1174713796
LBN Legal business name Mark J. Greenbaum, D.P.M., P.C.
DBA Doing business as
Authorized official Greenbaum, Mark J. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Jan 31st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174713796 NPPES
Georgia MEDICAID 00412068A

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