Stovroff, Mark Cooper

Stovroff, Mark Cooper is an sole proprietor health care provider with primary practice located at 755 Mount Vernon Hwy Ne Suite 460, Atlanta GA 30328-4274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Stovroff, Mark Cooper can be contacted via phone (404) 252-7900.

Contact Information

Primary practice address
755 Mount Vernon Hwy Ne Suite 460 Atlanta GA 30328-4274
Phone: (404) 252-7900
Fax: (404) 252-7905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 25MA09634700 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 037088 Georgia

Profile Details

NPI number 1750380689
LBN Legal business name Stovroff, Mark Cooper
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Aug 21st, 2026 - about 2 months 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 1750380689 NPPES
Georgia MEDICAID 00552736D

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