Organization
MARC W. EATON, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC WELLS EATON PH.D. (PRESIDENT)
(912) 283-6629
Entity
Organization
Contact information
Practice address
1227 ALICE ST, WAYCROSS, GA 31501-4524
(912) 283-6629
(912) 283-5980
Mailing address
1227 ALICE ST, WAYCROSS, GA 31501-4524
(912) 283-6629
(912) 283-5980
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY000673
GA
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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