Stovroff, Mark Cooper
Stovroff, Mark Cooper is an sole proprietor health care provider with primary practice located at 755 Mount Vernon Hwy Ne Suite 460, Atlanta GA 30328-4274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Stovroff, Mark Cooper can be contacted via phone (404) 252-7900.Contact Information
Primary practice address
755 Mount Vernon Hwy Ne Suite 460
Atlanta GA 30328-4274
Phone: (404) 252-7900
Fax: (404) 252-7905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 037088 | Georgia |
Profile Details
| NPI number | 1750380689 |
|---|---|
| LBN Legal business name | Stovroff, Mark Cooper |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Oct 3rd, 2012 - about 13 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 | 1750380689 | NPPES |
| Georgia | MEDICAID | 00552736D |
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