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Dr. Mark Banov, MD
Family Medicine Physician in Tucker, Georgia
NPI 1811930324

Mark Banov is a Family Medicine Physician based in Duluth, GA. Mark Banov practices in Tucker, GA and has the professional credentials of MD. The NPI Number for Mark Banov is 1811930324 and holds a License No. 033519 (Georgia).

The current practice location address for Mark Banov is 2151A Idlewood Rd, Tucker, GA and can be reached out via phone at 770-270-1622.

Location: 2151A Idlewood Rd, Tucker, GA, 30096-4979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811930324
Provider Name
Mark Banov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2151A Idlewood Rd, Tucker, GA, 30096-4979
Phone Number
770-270-1622
Fax Number
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00531297A 05 GA
institution
Provider Business Practice Location Address Details
Address
2151A Idlewood Rd
City
Tucker
State
Georgia
Zip
30084-4816
Phone Number
770-270-1622
Fax Number
person
Provider Business Mailing Address Details
Address
2151A Idlewood Rd
City
Tucker
State
Georgia
Zip
30084-4816
Phone Number
770-270-1622
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
033519 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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