Rheaume, Mark Paul
Rheaume, Mark Paul is an individual health care provider with primary practice located at 960 Joe Frank Harris Pkwy Se , Cartersville GA 30120-2129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Rheaume, Mark Paul can be contacted via phone (770) 607-7339.Contact Information
Primary practice address
960 Joe Frank Harris Pkwy Se
Cartersville GA 30120-2129
Phone: (770) 607-7339
Fax: (678) 928-9759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 054657 | Georgia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 054657 | Georgia |
Profile Details
| NPI number | 1811177884 |
|---|---|
| LBN Legal business name | Rheaume, Mark Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Apr 14th, 2022 - about 2 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 | 1811177884 | NPPES |
| Georgia | Other | GRP1205 | GROUP MEDICARE ID |
| Georgia | MEDICAID | 137013442 | GROUP MEDICARE ID |
| Georgia | Other | 511I300172 | GROUP MEDICARE ID |
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