Mark Kim De Meza, CPO

NPI #1306003991 in Decatur, Georgia

Provider Information

NPI Number
1306003991
Entity Type
Individual
Name
Mark Kim De Meza, CPO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
CPO
Enumeration Date
May 21, 2008
Last Updated
May 21, 2008

Practice Location

Address
1670 CLAIRMONT RD
State
Georgia
ZIP Code
30033-4004
Phone
(404) 321-6111

Specialties & Taxonomy Codes

Specialty
Specialist

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