Individual
MARC ELIE EUGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
(251) 266-3361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043606
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32751
INDIVIDUAL BCBS NUMBER
FL
Enumeration date
11/09/2005
Last updated
04/19/2024
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