Provider Demographics
NPI:1992720841
Name:KORALEWSKI, MARK K (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:K
Last Name:KORALEWSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:550 PEACHTREE STREET NE
Mailing Address - Street 2:SUITE 1230
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2238
Mailing Address - Country:US
Mailing Address - Phone:404-215-6520
Mailing Address - Fax:404-688-8883
Practice Address - Street 1:1110 W PEACHTREE ST NW STE 1040
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-888-5050
Practice Address - Fax:404-688-8883
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2021-04-26
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Provider Licenses
StateLicense IDTaxonomies
GA039146207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF74974Medicare UPIN
GA511I080017Medicare PIN