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Mark Roman, PA-C
NPI 1588692602 · on the registry since 2006 · sole proprietor
Practice
- Address
- 225 Mary Wallace Way
Dallas, GA 30157 - Phone
- (770) 608-3302
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-13
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