Mark R. Funk, M.D., L.L.C.

LBN: Mark R. Funk, M.D., L.L.C.
Mark R. Funk, M.D., L.L.C. is an health care organization with primary practice located at 700 Center St Suite 503, Columbus GA 31901-1546. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mark R. Funk, M.D., L.L.C. can be contacted via phone (706) 322-0667, or through Funk, Mark R. via phone (706) 322-0667.

Contact Information

Primary practice address
700 Center St Suite 503 Columbus GA 31901-1546
Phone: (706) 322-0667
Fax: (706) 322-0873
Website:
Map and Directions
Authorized official contact:
Name: Funk, Mark R. Doctor of Medicine (MD)
Phone: (706) 322-0667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 016510 Georgia

Profile Details

NPI number 1659681880
LBN Legal business name Mark R. Funk, M.D., L.L.C.
DBA Doing business as
Authorized official Funk, Mark R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2010
Last updated Oct 21st, 2010 - about 14 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 1659681880 NPPES
Georgia MEDICAID 0066701H

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