Mccracken, Mark S
Mccracken, Mark S is an individual health care provider with primary practice located at 1499 Fair Rd , Statesboro GA 30458-1683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mccracken, Mark S can be contacted via phone (912) 486-1430.Contact Information
Primary practice address
1499 Fair Rd
Statesboro GA 30458-1683
Phone: (912) 486-1430
Fax: (912) 871-2262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 055863 | Georgia |
Profile Details
| NPI number | 1538235817 |
|---|---|
| LBN Legal business name | Mccracken, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 21st, 2016 - about 8 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 | 1538235817 | NPPES |
| Georgia | MEDICAID | 391955373A |
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