Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | 2010-00219 | NC |
Y | 207QS0010X | Family Doctor - Sports Medicine | 79909 | GA |
N | 207QS0010X | Family Doctor - Sports Medicine | OS017714 | PA |
NPI | 1073787305 |
---|---|
Provider Name | Dr. Mark James Sakr |
First Address | Pittsburgh, PA 15203-2307 |
Second Address | Alpharetta, GA 30005-4481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 26/02/2021 |