Marks, Ian
Marks, Ian is an sole proprietor health care provider with primary practice located at 80 Newnan Station Dr Ste A , Newnan GA 30265-3194. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Marks, Ian can be contacted via phone (770) 251-2060.Contact Information
Primary practice address
80 Newnan Station Dr Ste A
Newnan GA 30265-3194
Phone: (770) 251-2060
Fax: (678) 854-9235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 032612 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 032612 | Georgia |
Profile Details
| NPI number | 1316995178 |
|---|---|
| LBN Legal business name | Marks, Ian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 16th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316995178 | NPPES |
| Georgia | MEDICAID | 000427655A |
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