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1902145048
MARK ROBERT THIEL
ATLANTA, GA
NPI
1902145048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 6963)
Enumeration Date
2013-02-09
Last Update Date
2023-05-30
Business Address
MARK ROBERT THIEL
1968 PEACHTREE RD NW
ATLANTA, GA 30309-1281
Phone number: 678-216-0771
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Mailing Address
MARK ROBERT THIEL
1180 CASTLE POINTE LN
GRAYSON, GA 30017-1077
Phone number:
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