Stern, Mark A

Stern, Mark A is an individual health care provider with primary practice located at 2675 N Decatur Rd Suite 506, Decatur GA 30033-6131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Stern, Mark A can be contacted via phone (404) 299-1679.

Contact Information

Primary practice address
2675 N Decatur Rd Suite 506 Decatur GA 30033-6131
Fax: (404) 508-7694
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 38624 Georgia

Profile Details

NPI number 1407882459
LBN Legal business name Stern, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 26th, 2012 - about 14 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 1407882459 NPPES
Georgia MEDICAID 00828022A

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