MEDICARE: DR. DEANNA MULLIS DEL MAZO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME102490	FL
2	207R00000X	Internal Medicine Physician	68502	GA
3	207R00000X	Internal Medicine Physician	068502	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639380298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEANNA MULLIS DEL MAZO MD

Provider Business Mailing Address
First Line	:	3495 PIEDMONT ROAD, NE
Second Line	:	NINE PIEDMONT CENTER
City	:	ATLANTA
State	:	GA
Zip	:	30305
Country	:	US
Telephone Number	:	404-364-7070
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 FRIENDSHIP RD
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-5630
Country	:	US
Telephone Number	:	770-535-0191
Fax Number	:	770-535-0916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	04/14/2022

Similar Medicare Providers

1770685547 — MUJTABA S SHEIKH MD
Practice Location Address:

1270 FRIENDSHIP RD
BRASELTON, GA
30517-5630

Practice Phone: 678-207-4200
Practice Fax: 770-533-4771

1255347639 — AMY E BULLENS-BORROW MD
Practice Location Address:

1270 FRIENDSHIP RD
BRASELTON, GA
30517-5630

Practice Phone: 678-207-4477
Practice Fax: 678-207-4478

1750390936 — CHRISTOPHER J LINBERG MD
Practice Location Address:

1270 FRIENDSHIP RD
BRASELTON, GA
30517-5630

Practice Phone: 678-207-4477
Practice Fax: 678-207-4478

1235391533 — DR. ERUM FAROOQI M.D.
Practice Location Address:

1270 FRIENDSHIP RD
BRASELTON, GA
30517-5630

Practice Phone: 678-207-4050
Practice Fax: 678-207-4051

1669902797 — DR. CYNTHIA IJEOMA ANUNOBI MD
Practice Location Address:

1400 RIVER PL
BRASELTON, GA
30517-5600

Practice Phone: 770-848-8000
Practice Fax:

1629071873 — GARY M DALLEY M.D.
Practice Location Address:

1515 RIVER PL , SUITE 200
BRASELTON, GA
30517-5602

Practice Phone: 770-848-6140
Practice Fax: 770-848-6141

Directions to “ DR. DEANNA MULLIS DEL MAZO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.