| Mark R. Funk, M.d., L.l.c. | |
|
700 Center St Suite 503 Columbus GA 31901-1546 | |
| (706) 322-0667 | |
| (706) 322-0873 |
| Full Name | Mark R. Funk, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Center St, Columbus, Georgia |
| Authorized Official Name and Position | Mark R. Funk (OWNER) |
| Authorized Official Contact | 7063220667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R. Funk, M.d., L.l.c. 700 Center St Suite 503 Columbus GA 31901-1546 Ph: (706) 322-0667 | Mark R. Funk, M.d., L.l.c. 700 Center St Suite 503 Columbus GA 31901-1546 Ph: (706) 322-0667 |
| NPI Number | 1659681880 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659681880 | NPI | - | NPPES |
| 0066701H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 016510 (Georgia) | Primary |
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