Individual
DR. MARTHA M. GIDDINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LLC
Contact information
Practice address
3790 OLD US HIGHWAY 41 N STE A, VALDOSTA, GA 31602-6865
(229) 262-1000
(229) 262-1085
Mailing address
3790 OLD US HIGHWAY 41 N STE A, VALDOSTA, GA 31602-6865
(229) 262-1000
(229) 262-1085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14004763
CAQH NUMBER
—
01
—
1578009254
NPI
GA
Enumeration date
01/18/2017
Last updated
11/30/2022
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