Individual
DR. MICHAEL DONALD MARABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
307 5TH ST SE, MOULTRIE, GA 31768-4838
(229) 985-5092
(229) 985-0138
Mailing address
307 5TH ST SE, MOULTRIE, GA 31768-4838
(229) 985-5092
(229) 985-0138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10909
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000431527A
—
GA
01
—
10909
DENTIST LICENSE NUMBER
GA
Enumeration date
03/21/2007
Last updated
10/21/2015
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