Individual provider · Type 1 NPI

John Mark Lidell, M.M.SC., PA-C

Physician Assistant · Mcdonough, GA

NPI number 1962487538 Active

Practice location

101 Regency Park Dr Ste 110
Mcdonough, GA 30253-7076

Call (404) 996-0126 Map

Fax (678) 432-2626

Mailing address

3576 Highway 138 SE
Stockbridge, GA 30281-7909

Other practice locations

  • 913 Eagles Landing Pkwy Ste 150, Stockbridge, GA 30281-5011 · (770) 692-5910
  • 3576 Highway 138 SE, Stockbridge, GA 30281-7909 · (770) 474-7448

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X002952 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962487538

John Mark Lidell, M.M.SC., PA-C's National Provider Identifier is 1962487538, issued on Dec 7, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mcdonough, GA. The record was last updated on Oct 27, 2021.