Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Banov, MD

Individual provider Family Medicine Physician · NPI 1811930324

Dr. Mark Banov, MD is a Family Medicine Physician in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2151A Idlewood Rd
Tucker, GA 30084-4816
Phone: (770) 270-1622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 033519 (GA)

Record details

NPI number1811930324
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3025 Breckinridge Blvd, Duluth, GA 30096-4979

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