Edward K Mark Jr, MD is a
Neurological Surgery physician based in Valdosta, Georgia. Edward K Mark Jr is licensed to practice in Georgia (license number 029908) and his current practice location is 4274 N Valdosta Rd, Valdosta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 242-1234.
NPI number for Edward K Mark Jr is 1619089125 and his current mailing address is 4274 N Valdosta Rd, Valdosta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619089125.
Physician's Profile
| Full Name | Edward K Mark Jr |
|---|
| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 4274 N Valdosta Rd, Valdosta, 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: 1619089125
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Edward K Mark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619089125 | NPI | - | NPPES |
| 00370686D | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 029908 (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. Edward K Mark Jr 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 |
|---|
Edward K Mark Jr, MD
4274 N Valdosta Rd,
Valdosta, GA 31602-6814
Ph: (229) 242-1234 | Edward K Mark Jr, MD
4274 N Valdosta Rd,
Valdosta, GA 31602-6814
Ph: (229) 242-1234 |
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