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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

Active

PROF. 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 110
MCDONOUGH, GA, 302537076
Browse 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.