Mark L Mudano M.D.

NPI 1487759650 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1487759650
Gender Male
Enumeration Date 09/13/2006
Last Updated 03/08/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
459 HIGHWAY 119 S
SUITE A
SPRINGFIELD GA, 31329-3021, US
Phone (912) 754-0185
Fax
Business Location
PO BOX 818
SPRINGFIELD GA, 31329-0818, US
Phone (912) 754-0185
Fax
Toxanomy
Taxonomy Code 207X00000X
License State Georgia
License Number 02854
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According to our database, Dr. Mark L Mudano M.D. NPI is 1487759650, taxonomy code is 207X00000X and license number is 02854, license state is located at Georgia. Mark L Mudano M.D. physically located at 459 Highway 119 S, Springfield GA, 31329-3021. NPI Number Mark L Mudano M.D. has the Individual type.

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1487759650 NPI number is provided on an as is basis without warranty of any kind. 1487759650 is maintained by the National Plan & Provider Enumeration System. The contents of Mark L Mudano M.D. are for informational purposes only.