JOHN MARK LIDELL

MCDONOUGH, GA
NPI1962487538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  002952)
Enumeration Date2005-12-07
Last Update Date2021-10-27
Business Address
Prof. JOHN MARK LIDELL M.M.Sc. , PA-C
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 30253-7076
Phone number: 404-996-0126
Mailing Address
Prof. JOHN MARK LIDELL M.M.Sc. , PA-C
3576 HIGHWAY 138 SE
STOCKBRIDGE, GA 30281-7909
Phone number: 770-474-7448
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