Individual
GEOFFREY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1937 S MAIN ST, MOULTRIE, GA 31768-6523
(256) 684-7779
Mailing address
1937 S MAIN ST, MOULTRIE, GA 31768-6523
(256) 684-7779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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