Vanchad C Memark M.D.

NPI 1013196492 - Surgery - 208600000X

NPI Details
NPI 1013196492
Gender Male
Enumeration Date 11/01/2007
Last Updated 06/27/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
4094 TIMBER RIDGE DRIVE
SUITE 104
DOUGLASVILLE GA, 30135, US
Phone (770) 942-4822
Fax (770) 942-5311
Business Location
4094 TIMBER RIDGE DRIVE
SUITE 104
DOUGLASVILLE GA, 30135, US
Phone (770) 942-4822
Fax (770) 942-5311
Toxanomy
Taxonomy Code 208600000X
License State Georgia
License Number 64416
Remove 1013196492 NPI Number
 

According to our database, Dr. Vanchad C Memark M.D. NPI is 1013196492, taxonomy code is 208600000X and license number is 64416, license state is located at Georgia. Vanchad C Memark M.D. physically located at 4094 Timber Ridge Drive, Douglasville GA, 30135. NPI Number Vanchad C Memark M.D. has the Individual type.

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1013196492 NPI number is provided on an as is basis without warranty of any kind. 1013196492 is maintained by the National Plan & Provider Enumeration System. The contents of Vanchad C Memark M.D. are for informational purposes only.