MARK BANOV

TUCKER, GA
NPI1811930324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  033519)
Enumeration Date2006-06-13
Last Update Date2007-07-08
Business Address
Dr. MARK BANOV MD
2151A IDLEWOOD RD
TUCKER, GA 30084-4816
Phone number: 770-270-1622
Mailing Address
Dr. MARK BANOV MD
3025 BRECKINRIDGE BLVD
DULUTH, GA 30096-4979
Phone number: 770-270-1622
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