Individual
MR. MARTIN LYLE PLOG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2610 HIGHWAY 129 N, JEFFERSON, GA 30549-2652
(706) 367-1008
Mailing address
48 PEBBLE CT, HOSCHTON, GA 30548-3071
(706) 367-1008
(706) 769-4535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001615
GA
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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