Provider Demographics
NPI:1649294406
Name:NANES, MARK STUART (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:STUART
Last Name:NANES
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:1670 CLAIRMONT RD
Mailing Address - Street 2:MAIL CODE 111
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4004
Mailing Address - Country:US
Mailing Address - Phone:404-321-6111
Mailing Address - Fax:404-417-2943
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:MAIL CODE 111
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-417-2943
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA30842207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism