Mark Jay Holzberg in Newnan - Procedural Dermatology
Mark Jay Holzberg - NPI 1669456661
Mark Jay Holzberg is a Procedural Dermatology in Newnan, Georgia. Mark Jay Holzberg practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Mark Jay Holzberg is 1669456661. The last update date is 2023-03-31.
Mark Jay Holzberg's current location address is 710 Newnan Crossing Bypass, Newnan, Georgia. You can contact this provider via phone number 7702515111 and fax number 7702548680. The mailing address for Mark Jay Holzberg is 710 Newnan Crossing Bypass, Newnan, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jay Holzberg |
|---|---|
| Address | 710 Newnan Crossing Bypass, Newnan, Georgia |
| Phone Number | 7702515111 |
| Fax Number | 7702548680 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669456661 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2023-03-31 |
Provider Mailing Address Detail
| Address | 710 Newnan Crossing Bypass |
|---|---|
| City | Newnan |
| State | Georgia (GA) |
| Post Code | 302632321 |
| Phone Number | 7702515111 |
| Fax Number | 7702548680 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 29001 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 306450 | GA | UHC | |
| 000310043I | GA | -- | |
| 4118834 | GA | ATENA NON-HMO | |
| 403543006 | GA | CIGNA HMO | |
| 2034373 | GA | AETNA HMO | |
| 70012762 | GA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Mark Jay Holzberg's unique identification number?
The Mark Jay Holzberg has been assigned the NPI (National Provider Identifier) Number 1669456661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mark Jay Holzberg's physical address?
The Mark Jay Holzberg is physically located at 710 Newnan Crossing Bypass, in the city of Newnan, GA, with the postal code 302632321.
What is Mark Jay Holzberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Jay Holzberg is Procedural Dermatology, and the corresponding taxonomy classification code for this specialized field is 207Ns0135X.
On what date did Mark Jay Holzberg receive its 1669456661 assignment from the Centers for Medicare & Medicaid Services?
The Mark Jay Holzberg was assigned its 1669456661 on 2005-12-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark Jay Holzberg most recently updated or refreshed?
The details pertaining to the Mark Jay Holzberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-31.