| C. David Markle, M.d. P.c. | |
|
1605 Mulkey Rd Suite A Austell GA 30106-1127 | |
| (770) 948-4455 | |
| (770) 819-8824 |
| Full Name | C. David Markle, M.d. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1605 Mulkey Rd, Austell, Georgia |
| Authorized Official Name and Position | Amber H Driskell (SECRETARY) |
| Authorized Official Contact | 7709484455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C. David Markle, M.d. P.c. 1605 Mulkey Rd Suite A Austell GA 30106-1127 Ph: (770) 948-4455 | C. David Markle, M.d. P.c. 1605 Mulkey Rd Suite A Austell GA 30106-1127 Ph: (770) 948-4455 |
| NPI Number | 1508910597 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 06/16/2008 |
| Medicare PECOS PAC ID | 4486624582 |
|---|---|
| Medicare Enrollment ID | O20040727001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508910597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles D Markle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952461667 PECOS PAC ID: 1456321553 Enrollment ID: I20040727001188 |
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