License holder summary

TABAKA, MARK is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for TABAKA, MARK is 70 TIBURON TRAIL, Augusta 30907. This doctor license is not current. The license was granted 10/06/2005 and expired on 12/31/2006.

Georgia

Composite Medical Board

TABAKA, MARK
Medical - Physician Assistant
License number
004661
Date granted
10/06/2005
Date expires
12/31/2006
Class
Medical - Physician Assistant
Status
Lapsed
Address
70 TIBURON TRAIL
georgiadoctors.net
ID 38101941
LAST UPDATED 2026-05-27 05:20:53 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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