person
Mark J. Mittenthal, MD
Vascular Surgery Physician in Atlanta, Georgia
NPI 1598739559

Mark J. Mittenthal is a Vascular Surgery Physician based in Lawrenceville, GA and is specialized in Vascular Surgery. Mark J. Mittenthal practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Mark J. Mittenthal is 1598739559 and holds a License No. 017864 (Georgia).

The current practice location address for Mark J. Mittenthal is 5669 Peachtree Dunwoody Rd, Atlanta, GA and can be reached out via phone at 404-256-0404 and via fax at 404-847-0423. You can also correspond with Mark J. Mittenthal through the mailing address at 1838 AMERICAN WAY, LAWRENCEVILLE, GA - 30043-6611 (mailing address contact number: 770-995-7622).

Location: 5669 Peachtree Dunwoody Rd, Atlanta, GA, 30043-6611
person
Provider Profile Details
NPI Number
1598739559
Provider Name
Mark J. Mittenthal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5669 Peachtree Dunwoody Rd, Atlanta, GA, 30043-6611
Phone Number
404-256-0404
Fax Number
404-847-0423
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000206005 05 GA
institution
Provider Business Practice Location Address Details
Address
5669 Peachtree Dunwoody Rd
City
State
Zip
30342-1786
Phone Number
404-256-0404
Fax Number
404-847-0423
person
Provider Business Mailing Address Details
Address
1838 American Way
City
State
Zip
30043-6611
Phone Number
770-995-7622
Fax Number
770-995-7854
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
017864 (Georgia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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