Yanta, Mark J.

Yanta, Mark J. is an individual health care provider with primary practice located at 3400 Old Milton Pkwy # C Ste 365, Alpharetta GA 30005-3707. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Yanta, Mark J. can be contacted via phone (404) 446-2400.

Contact Information

Primary practice address
3400 Old Milton Pkwy # C Ste 365 Alpharetta GA 30005-3707
Phone: (404) 446-2400
Fax: (404) 446-2409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 043827 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 43827 Georgia

Profile Details

NPI number 1245239094
LBN Legal business name Yanta, Mark J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 1st, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245239094 NPPES
Georgia Other 3416408 AETNA
Georgia MEDICAID 000749229H AETNA
Georgia MEDICAID 00749229H AETNA
Georgia MEDICAID 000749229W AETNA
Georgia MEDICAID 10034908 AETNA
Georgia MEDICAID 296145 AETNA

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