Individual
DR. MARK JOSEPH EANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 S PATTERSON ST, VALDOSTA, GA 31601-5668
(229) 333-5290
Mailing address
PO BOX 5147, VALDOSTA, GA 31603-5147
(229) 333-5290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25970
GA
251K00000X
Public Health or Welfare Agency
025970
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000330316D
—
GA
Enumeration date
08/31/2006
Last updated
11/24/2025
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