Mark Russell Ling (NPI# 1639153638, PAC ID# 4789853292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1639153638 |
| PAC ID by PECOS | 4789853292 |
| Professional Enrollment ID | I20110817000492 |
| Full Name | Mark Russell Ling |
| Organization Legal Name | GEORGIA DERMATOLOGY SPECIALISTS OF COWETA COUNTY |
| Address |
710 Newnan Crossing Bypass Newnan GA 30263-1090 |
| Phone Number | 7702515111 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6800798182 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 | 7702515111 | GEORGIA DERMATOLOGY SPECIALISTS OF COWETA COUNTY |
| 1975 Hwy 54 W, Suite 250, Peach Tree City, GA 30269-4796 | 7702515111 | GEORGIA DERMATOLOGY SPECIALISTS OF COWETA COUNTY |
| Organization Legal Name | GEORGIA DERMATOLOGY SPECIALISTS OF COWETA COUNTY |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Lore | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Elizabeth Anne Baker-ahlstrom | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 524 Dixie St, Carrollton, GA 30117-3805 |
| Sandra Lynn Morris | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 524 Dixie St, Carrollton, GA 30117-3805 |
| Steven Mitchell Marcet | Dermatology | Georgia Dermatology Specialists of Coweta County | 524 Dixie St, Carrollton, GA 30117-3805 |
| Neely Darragh Almand | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Mark J Holzberg | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Onyebuchi C Neita | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Jill Buckthal-mccuin | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| James S Nobles | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 524 Dixie St, Carrollton, GA 30117-3805 |
| Joseph M Dyer | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Street Address |
710 NEWNAN CROSSING BYPASS |
| City | NEWNAN |
| State | GA |
| Zip | 30263-1090 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Lore | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Neely Darragh Almand | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Mark J Holzberg | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Onyebuchi C Neita | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Jill Buckthal-mccuin | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Joseph M Dyer | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cecil F Bennett Jr. | Family Medicine | 51 Hospital Rd, Newnan, GA 30263-1209 | |
| Georgia M Theriot | Family Practice | 51 Hospital Rd, Newnan, GA 30263-1209 | |
| Mark S Cook | Family Practice | 38 Hospital Rd A, Newnan, GA 30263-1277 | |
| Braham N Taparia | Internal Medicine | 242 Bullsboro Dr, Newnan, GA 30263-1295 | |
| Thomas Smith Freeman | Psychologist, Clinical | Lighthouse Counseling PC | 121 Jackson St, Newnan, GA 30263-1572 |
| Sarah B Lyle | Psychologist, Clinical | Lighthouse Counseling PC | 121 Jackson St, Newnan, GA 30263-1572 |
| Jason A Bailey | Chiropractic | 35 Jackson St, Newnan, GA 30263-1945 | |
| William R Shockley | Optometry | 47 Jefferson St, Newnan, GA 30263-1948 | |
| William Kerry Elliott | Chiropractic | 34 Greenville St, Newnan, GA 30263-2602 | |
| Katherine E Sherry | Clinical Social Worker | Creative Care Health Concepts,llc | 120 Spring St, Newnan, GA 30263-2824 |
| Find all physicians in zip 30263 | |||
| City | NEWNAN |
| Zip Code | 30263 |
| Specialty | DERMATOLOGY |
| City + Specialty | NEWNAN + DERMATOLOGY |
Please comment or provide details below to improve the information on Mark Russell Ling.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.