Mark Cooper Stovroff in Atlanta - Pediatric Surgery
Mark Cooper Stovroff - NPI 1750380689
Mark Cooper Stovroff is a Pediatric Surgery in Atlanta, Georgia. Mark Cooper Stovroff practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Mark Cooper Stovroff is 1750380689. The last update date is 2012-10-03.
Mark Cooper Stovroff's current location address is 755 Mount Vernon Hwy Ne, Atlanta, Georgia. You can contact this provider via phone number 4042527900 and fax number 4042527905. The mailing address for Mark Cooper Stovroff is 755 Mount Vernon Hwy Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Cooper Stovroff |
|---|---|
| Address | 755 Mount Vernon Hwy Ne, Atlanta, Georgia |
| Phone Number | 4042527900 |
| Fax Number | 4042527905 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750380689 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2012-10-03 |
Provider Mailing Address Detail
| Address | 755 Mount Vernon Hwy Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303284274 |
| Phone Number | 4042527900 |
| Fax Number | 4042527905 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 37088 |
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Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00552736D | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Cooper Stovroff by the Centers for Medicare & Medicaid Services?
The Mark Cooper Stovroff has been assigned the NPI (National Provider Identifier) 1750380689. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Cooper Stovroff is located?
The Mark Cooper Stovroff is situated at the following address: 755 Mount Vernon Hwy Ne, Atlanta, GA, 303284274.
What is Mark Cooper Stovroff's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Cooper Stovroff's area of specialization is Pediatric Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0120X.
On what date did the Mark Cooper Stovroff receive its 1750380689 assignment from the Centers for Medicare & Medicaid Services?
The Mark Cooper Stovroff was assigned its 1750380689 by the Centers for Medicare & Medicaid Services on 2005-07-21.
As of what date was the information regarding Mark Cooper Stovroff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Cooper Stovroff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-03.