IndividualActive
Mark Crispin, MD
NPI 1699730705 · Plastic and Reconstructive Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1699730705
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 032163 (GA)
Practice location
5673 Peachtree Dunwoody Rd
Ste 100
Atlanta, GA 30342
Phone: (404) 257-0064
Fax: (404) 257-1568
Mailing address
5673 Peachtree Dunwoody Rd
Atlanta, GA 30342
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.