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1912194960
MARK P VISITACION
ATHENS, GA
NPI
1912194960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: GA 65514)
Enumeration Date
2007-10-03
Last Update Date
2022-10-25
Business Address
MARK P VISITACION MD
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606-2165
Phone number: 706-559-4405
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Mailing Address
MARK P VISITACION MD
PO BOX 48089
ATHENS, GA 30604-8089
Phone number: 706-389-3740
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