MR. MARK ROMAN, PA-C

Physician Assistant

Active Individual
NPI: 1588692602

Practice Address

225 MARY WALLACE WAY
Dallas, GA 30157

Phone: (770) 608-3302

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA9101641 (FL)

Frequently Asked Questions

NPI 1588692602 is the National Provider Identifier for MR. MARK ROMAN, PA-C, a Physician Assistant provider located in Dallas, GA. This NPI was enumerated on June 29, 2006.
MR. MARK ROMAN, PA-C practices at 225 MARY WALLACE WAY, Dallas, GA 30157.

Quick Facts

NPI
1588692602
Type
Individual
Enumerated
Jun 29, 2006
Last Updated
Aug 13, 2018

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