Individual
DR. STANLEY BERNARD MARABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
308 JANET ST, VALDOSTA, GA 31602-2602
(229) 244-5644
(229) 247-1412
Mailing address
308 JANET ST, VALDOSTA, GA 31602-2602
(229) 244-5644
(229) 247-1412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010910
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00043153B
—
GA
05
—
101089
—
GA
05
—
9184102
—
GA
Enumeration date
01/08/2007
Last updated
07/09/2007
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