DR. Mark Andrew Supan, M.D.

NPI #1972701936 in Jasper, Georgia

Provider Information

NPI Number: 1972701936
Entity Type: Individual
Name: DR. Mark Andrew Supan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: M.D.
Enumeration Date: Jul 10, 2007
Last Updated: May 19, 2011

Practice Location

Address: 220 J L WHITE DR
Address 2: SUITE 120
City: Jasper
State: Georgia
ZIP Code: 30143-4893
Phone: (706) 635-3539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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