Mark C Becknell, M.D.

NPI #1164478848 in Jonesboro, Georgia

Provider Information

NPI Number: 1164478848
Entity Type: Individual
Name: Mark C Becknell, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 25, 2006
Last Updated: Jan 13, 2022

Practice Location

Address: 2400 MOUNT ZION PKWY
Address 2: KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
City: Jonesboro
State: Georgia
ZIP Code: 30236-2500
Phone: (770) 603-3614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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