Search › Georgia › 207ND0101X
Mark Baucom, M.D
NPI 1831184357 · on the registry since 2005 · sole proprietor
Practice
- Address
- 5555 Peachtree Dunwoody Rd Ne
Ste 206
Atlanta, GA 30342 - Phone
- (404) 844-0496
- Fax
- (404) 943-9464
- Organisation at this address
- Cor Ii
Carole M. Dean, Md, Pc
Jagor And Jagor D.D.S.
The Surgical Suite, Inc
Robert M. Fryer, Dds, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Additional practice sites
- 10750 Medlock Bridge Rd Ste 101, Johns Creek, GA
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia