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Contact Information

MARK STEIN
607 RUSSELL PARKWAY STE A
WARNER ROBINS, GA31088
 Phone: 478-225-9860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARK STEIN · (Male)

NPI Number 1043757214
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2017
Last updated 01/26/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # T0134
Hospital affiliation(s) Not Available
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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