Mark G. Haywood, Md, Llc

NPI 1154371706 - Ophthalmology - 207W00000X

NPI Details
NPI 1154371706
Enumeration Date 05/12/2006
Last Updated 04/01/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICIA A PATRICIA
Position PRACTICE ADMINISTRATOR
Phone (678) 442-1161
Fax (678) 442-9967
Practice Location
721 WELLNESS WAY
STE 210
LAWRENCEVILLE GA, 30045-3304, US
Phone (678) 442-1161
Fax (678) 442-9967
Business Location
721 WELLNESS WAY
STE 210
LAWRENCEVILLE GA, 30045-3304, US
Phone (678) 442-1161
Fax (678) 442-9967
Toxanomy
Taxonomy Code 207W00000X
License State Georgia
License Number 035898
Remove 1154371706 NPI Number
 

According to our database, Mark G. Haywood, Md, Llc NPI is 1154371706, taxonomy code is 207W00000X and license number is 035898, license state is located at Georgia. Mark G. Haywood, Md, Llc physically located at 721 Wellness Way, Lawrenceville GA, 30045-3304. NPI Number 1033115704 has the healthcare provider type.

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1154371706 NPI number is provided on an as is basis without warranty of any kind. 1154371706 is maintained by the National Plan & Provider Enumeration System. The contents of Mark G. Haywood, Md, Llc are for informational purposes only.