Mark S Wyatt in Austell - Surgery

Mark S Wyatt - NPI 1245347194

Mark S Wyatt is a Surgery in Austell, Georgia. Mark S Wyatt practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mark S Wyatt is 1245347194. The last update date is 2015-06-26.

Mark S Wyatt's current location address is 1700 Hospital South Dr, Austell, Georgia. You can contact this provider via phone number 7709447818 and fax number 7709446402. The mailing address for Mark S Wyatt is 1700 Hospital South Dr, Austell, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark S Wyatt
Address 1700 Hospital South Dr, Austell, Georgia
Phone Number 7709447818
Fax Number 7709446402
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1245347194
Provider Enumeration Date 2006-08-24
Last Updated Date 2015-06-26

Provider Mailing Address Detail

Address 1700 Hospital South Dr
City Austell
State Georgia (GA)
Post Code 301066810
Phone Number 7709447818
Fax Number 7709446402

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 32499
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000414939C GA --

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FAQs about Mark S Wyatt

What is the unique identification code assigned to Mark S Wyatt by the Centers for Medicare & Medicaid Services?

The Mark S Wyatt has been issued the NPI (National Provider Identifier) 1245347194. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mark S Wyatt's facilities are geographically located?

The facilities of Mark S Wyatt are physically situated at the following location: 1700 Hospital South Dr, Austell, GA, 301066810.

What is Mark S Wyatt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark S Wyatt's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1245347194 to Mark S Wyatt?

The Centers for Medicare & Medicaid Services originally issued the 1245347194 to Mark S Wyatt on 2006-08-24.

As of what date were the Mark S Wyatt's details last updated?

The information pertaining to the Mark S Wyatt, including its address, specialty, and other details, was most recently updated on 2015-06-26.

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