Mark, Lena A
Mark, Lena A is an individual health care provider with primary practice located at 2540 Windy Hill Rd Se , Marietta GA 30067-8605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Mark, Lena A can be contacted via phone (770) 644-1274.Contact Information
Primary practice address
2540 Windy Hill Rd Se
Marietta GA 30067-8605
Phone: (770) 644-1274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 003507 | Georgia |
Profile Details
| NPI number | 1265495592 |
|---|---|
| LBN Legal business name | Mark, Lena A |
| Credentials | PAAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Oct 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265495592 | NPPES |
| Georgia | MEDICAID | 096995311A |
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