Individual
MARIO MARTEZ LAMPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 CHANDLER DR, VALDOSTA, GA 31602-5729
(229) 457-7174
Mailing address
2501 CHANDLER DR, VALDOSTA, GA 31602-5729
(229) 457-7174
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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