Organization
SOUTH GEORGIA VEIN CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY D MARTIN M.D. (PRESIDENT)
(229) 259-9666
Entity
Organization
Contact information
Practice address
3338 COUNTRY CLUB RD # M, VALDOSTA, GA 31605-1044
(229) 259-9666
(229) 253-0064
Mailing address
3338 L1 COUNTRY CLUB RD PMB 342, VALDOSTA, GA 31605
(229) 259-9666
(229) 253-0064
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
10/07/2024
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