IndividualActive
Mark De Meza, CPO
NPI 1306003991 · Specialist · Decatur, GA
Mark De Meza, CPO is a Specialist provider in Decatur, GA (NPI 1306003991).
Provider details
- NPI number
- 1306003991
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- License
- 000050 (GA)
Practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Street-level locationGet directions
Mailing address
11835 Highland Colony Dr
Roswell, GA 30075-2169
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2008-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.