Marvin M.d. Tark
Medical Specialty
Professional ID
- NPI: 1548373210
- PECOS ID: 0345138095
- Enrollment ID: I20111027000257
- Credential(MD, DO, DPM):
- Medical School: Louisiana State University School Of Medicine In New Orleans
- Medical School Graduation Year: 1975
Hospital Service
- Hospital CCN1: 110035
- Business Name (LBN)1: Wellstar Kennestone Hospital
- Hospital CCN2: 110143
- Business Name (LBN)2: Wellstar Cobb Hospital
- Hospital CCN3: 110161
- Business Name (LBN)3: Northside Hospital
Medical Practices
- Organization Name: Interventional Spine And Pain Management Center, Pc.
- Group Practice ID assigned by PECOS: 2769483031
- Number of Group Practice member: 43
Location
- Address1: 1388 Wellbrook Necir A
- Address2:
- City: Conyers
- State: Georgia
- Zip Code: 30012
- Phone Number: (770)385-7985
Location
- Address1: 15 Medical Nedr
- Address2: Suite 301
- City: Cartersville
- State: Georgia
- Zip Code: 30121
- Phone Number: (770)929-9033
Location
- Address1: 400 Tower Nerd
- Address2: Suite 350
- City: Marietta
- State: Georgia
- Zip Code: 30060
- Phone Number: (770)929-9033
Location
- Address1: 620 J L White Dr
- Address2: Suite 140
- City: Jasper
- State: Georgia
- Zip Code: 30143
- Phone Number: (770)929-9033
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):