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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205947496 NPPES
Georgia MEDICAID 00330316A

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