Basic Information
| Provider Information | |||||||||
| NPI: | 1336301043 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAUN | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | ALFRED WILLIAM | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1882 | ||||||||
| Address2: | |||||||||
| City: | ROME | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301621882 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7065093040 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1328 JOE FRANK HARRIS PKWY SE | ||||||||
| Address2: | |||||||||
| City: | CARTERSVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301204221 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7703820029 | ||||||||
| FaxNumber: | 7703870306 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2008 | ||||||||
| LastUpdateDate: | 07/07/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 066048 | GA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207P00000X | ME117502 | FL | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.