Merlin, Mark Louis
Merlin, Mark Louis is an sole proprietor health care provider with primary practice located at 2349 Lawrenceville Hwy , Decatur GA 30033-3143. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Merlin, Mark Louis can be contacted via phone (404) 320-1550.Contact Information
Primary practice address
2349 Lawrenceville Hwy
Decatur GA 30033-3143
Phone: (404) 320-1550
Fax: (404) 728-1081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 039178 | Georgia |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 39178 | Georgia |
Profile Details
| NPI number | 1033193800 |
|---|---|
| LBN Legal business name | Merlin, Mark Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Nov 3rd, 2015 - about 9 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 | 1033193800 | NPPES |
| Georgia | MEDICAID | 165022770C |
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