Provider Information for 1497230999
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MARK JASON SHERLING
Sex: Male
NPI: 1497230999
Last Updated: 2018-10-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1497230999 | ||||||||
| Enumeration Date | 2018-10-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2303 HARBOR LNDG ROSWELL, GA 30076-3131 United States Phone: 229-485-7926 | Fax: | ||||||||
| Primary Practice Address | 201 VAUGHN DR ALPHARETTA, GA 30009-2333 United States Phone: 770-410-5788 | Fax:770-410-4041 | ||||||||
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