DR. MARK SUPAN, M.D.
Obstetrics & Gynecology
Active
Individual
NPI: 1972701936
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Obstetrics & Gynecology | 207V00000X | Yes | 065503 (GA) |
Frequently Asked Questions
NPI 1972701936 is the National Provider Identifier for DR. MARK SUPAN, M.D., a Obstetrics & Gynecology provider located in Jasper, GA. This NPI was enumerated on July 10, 2007.
DR. MARK SUPAN, M.D. practices at 220 J L WHITE DR, SUITE 120, Jasper, GA 30143.
Quick Facts
- NPI
- 1972701936
- Type
- Individual
- Enumerated
- Jul 10, 2007
- Last Updated
- May 19, 2011
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