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Contact Information

MARK J YANTA, MD
3400 OLD MILTON PKWY # C
STE 365
ALPHARETTA, GA30005-3707
 Phone: 404-446-2400
 Fax: 404-446-2409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MARK J YANTA · (Male)

NPI Number 1245239094
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2005
Last updated 02/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 043827
  • GA License # 43827
  • GA Medicaid 000749229H
  • GA Medicaid 000749229W
  • GA Medicaid 00749229H
  • GA Medicaid 10034908
  • GA Medicaid 296145
  • GA Other 3416408 AETNA
Hospital affiliation(s)
  • DEKALB MEDICAL CENTER - (Acute Care)
    2701 N DECATUR ROAD
    DECATUR, GA 30033
  • NORTH FULTON REGIONAL HOSPITAL - (Acute Care)
    3000 HOSPITAL BOULEVARD
    ROSWELL, GA 30076
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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