Provider Demographics
NPI:1598715500
Name:IGNATZ, MARK E (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:E
Last Name:IGNATZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:803 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-5117
Mailing Address - Country:US
Mailing Address - Phone:229-312-5871
Mailing Address - Fax:229-312-5853
Practice Address - Street 1:417 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1943
Practice Address - Country:US
Practice Address - Phone:229-312-5133
Practice Address - Fax:229-312-5159
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0573752080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine