Search › Georgia › 101YM0800X
Mark Mazzoni, L.P.C
NPI 1891061867 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1763 Fernside Dr
Toccoa, GA 30577 - Phone
- (706) 282-4542
- Organisation at this address
- Avita Community Partners
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-23
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