Yanta, Mark J.
Yanta, Mark J. is an individual health care provider with primary practice located at 3400 Old Milton Pkwy # C Ste 365, Alpharetta GA 30005-3707. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Yanta, Mark J. can be contacted via phone (404) 446-2400.Contact Information
Primary practice address
3400 Old Milton Pkwy # C Ste 365
Alpharetta GA 30005-3707
Phone: (404) 446-2400
Fax: (404) 446-2409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 043827 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 43827 | Georgia |
Profile Details
| NPI number | 1245239094 |
|---|---|
| LBN Legal business name | Yanta, Mark J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 1st, 2017 - about 9 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 | 1245239094 | NPPES |
| Georgia | Other | 3416408 | AETNA |
| Georgia | MEDICAID | 000749229H | AETNA |
| Georgia | MEDICAID | 00749229H | AETNA |
| Georgia | MEDICAID | 000749229W | AETNA |
| Georgia | MEDICAID | 10034908 | AETNA |
| Georgia | MEDICAID | 296145 | AETNA |
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