Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. JOHN MARK LIDELL, M.M.SC. , PA-C
ActivePROF. JOHN MARK LIDELL, M.M.SC. , PA-C is a Physician Assistant healthcare provider located in MCDONOUGH, Georgia. NPI 1962487538 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MCDONOUGH, GA
Registration Details
- NPI Number
- 1962487538
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.643901922952 yrs)
- Last Updated
- Oct 27, 2021
- License
-
002952 (GA)
Practice Information
- Address
-
101 REGENCY PARK DR STE 110MCDONOUGH, GA, 302537076Browse GA providers · Browse ZIP 30253
- Phone
- 4049960126
- Fax
- 6784322626
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MCDONOUGH, GA
| Name | Credential | NPI |
|---|---|---|
| ALLAN B IMES JR. | P.A. | 1245237700 |
| JOHN AUGUSTAVE CARLSON | PAC | 1023091964 |
| BYRON E TURKETT | PA | 1972540334 |
| CORAL ROCHELLE BENGE | PA-C | 1922040781 |
| DAPHENE SMITH | PA | 1497869689 |
| ROB GRAY | PA-C | 1790895340 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.