Dr Mark Brian Little, AU D is a
Audiologist based in Fort Gordon, Georgia. Dr Mark Brian Little is licensed to practice in Georgia (license number AUD003676) and his current practice location is
300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 787-2720.
NPI number for Dr Mark Brian Little is 1821000514 and his current mailing address is 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821000514.
Healthcare Provider's Profile
| Full Name | Dr Mark Brian Little |
|---|
| Gender | Male |
|---|
| Speciality | Audiologist |
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| Location | 300 W Hospital Road, Fort Gordon, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821000514
- Provider Enumeration Date: 08/12/2006
- Last Update Date: 05/08/2008
Medical Identifiers
Medical identifiers for Dr Mark Brian Little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821000514 | NPI | - | NPPES |
| SA0620 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 3420 (South Carolina) | Secondary |
| 231H00000X | Audiologist | AUD003676 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Brian Little is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Brian Little, AU D
300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials,
Fort Gordon, GA 30905-5650
Ph: (706) 787-2720 | Dr Mark Brian Little, AU D
300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials,
Fort Gordon, GA 30905-5650
Ph: (706) 787-2720 |
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