Mark J. Greenbaum, D.p.m., P.c. | |
1835 Savoy Dr Ste 200, Atlanta, GA 30341-1073 | |
(770) 279-2900 | |
Not Available |
Full Name | Mark J. Greenbaum, D.p.m., P.c. |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1835 Savoy Dr Ste 200, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174713796 | NPI | - | NPPES |
00412068A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD000611 (Georgia) | Primary |
Provider Name | Mark J Greenbaum |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1750335428 PECOS PAC ID: 1355448655 Enrollment ID: I20091214000381 |
Mailing Address | Practice Location Address |
---|---|
Mark J. Greenbaum, D.p.m., P.c. 1835 Savoy Dr Ste 200, Atlanta, GA 30341-1073 Ph: (770) 279-2900 | Mark J. Greenbaum, D.p.m., P.c. 1835 Savoy Dr Ste 200, Atlanta, GA 30341-1073 Ph: (770) 279-2900 |
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