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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972610590 NPPES
Georgia MEDICAID 000789951M

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