Paradela, Mark Jerome
Paradela, Mark Jerome is an individual health care provider with primary practice located at 1500 Oglethorpe Ave Suite 3200, Athens GA 30606-2179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Paradela, Mark Jerome can be contacted via phone (706) 549-8931.Contact Information
Primary practice address
1500 Oglethorpe Ave Suite 3200
Athens GA 30606-2179
Phone: (706) 549-8931
Fax: (706) 549-0088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 049200 | Georgia |
Profile Details
| NPI number | 1437131596 |
|---|---|
| LBN Legal business name | Paradela, Mark Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Sep 24th, 2008 - about 18 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 | 1437131596 | NPPES |
| Georgia | MEDICAID | 000937736D |
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