Mogos, Adrian Mark
Mogos, Adrian Mark is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Mogos, Adrian Mark can be contacted via phone (678) 312-3294.Contact Information
Primary practice address
1000 Medical Center Blvd
Lawrenceville GA 30046-7694
Phone: (678) 312-3294
Fax: (678) 312-3282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 042091 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 42091 | Georgia |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 042091 | Georgia |
Profile Details
| NPI number | 1972610590 |
|---|---|
| LBN Legal business name | Mogos, Adrian Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Mar 5th, 2023 - about 2 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 | 1972610590 | NPPES |
| Georgia | MEDICAID | 000789951M |
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