| |
2310 N Patterson St, Suite B, Valdosta, GA 31602-2568 | |
(229) 247-2020 | |
(229) 247-5600 |
Full Name | |
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Type | Facility |
Speciality | Specialist |
Location | 2310 N Patterson St, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316020043 | NPI | - | NPPES |
Provider Name | Mark Eanes |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1205947496 PECOS PAC ID: 3779697776 Enrollment ID: I20120229000766 |
Mailing Address | Practice Location Address |
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2310 N Patterson St, Suite B, Valdosta, GA 31602-2568 Ph: (229) 247-2020 | 2310 N Patterson St, Suite B, Valdosta, GA 31602-2568 Ph: (229) 247-2020 |