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MARK KIM DE MEZA CPO NPI 1306003991


NPI Information

NPI: 1306003991
Provider Name: MARK KIM DE MEZA, CPO
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1670 CLAIRMONT RD
DECATUR, GA
ZIP 30033
Phone: (404) 321-6111
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Mark Kim De Meza, CPO is a specialist in Decatur, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Mark Kim De Meza, CPO NPI is 1306003991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1670 CLAIRMONT RD
DECATUR, GA
ZIP 30033-004
Phone: (404) 321-6111

The enumeration date for this NPI number is 5/21/2008 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist000050GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.