Eanes, Mark Joseph
Eanes, Mark Joseph is an individual health care provider with primary practice located at 2310 N Patterson St Suite B, Valdosta GA 31602-2568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Eanes, Mark Joseph can be contacted via phone (229) 247-2020.Contact Information
Primary practice address
2310 N Patterson St Suite B
Valdosta GA 31602-2568
Phone: (229) 247-2020
Fax: (229) 247-5600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 025970 | Georgia |
Profile Details
| NPI number | 1205947496 |
|---|---|
| LBN Legal business name | Eanes, Mark Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 15th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205947496 | NPPES |
| Georgia | MEDICAID | 00330316A |
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