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Individual

DR. MARK LESLIE HUNTSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
205 OLD BLACKSTONE CAMP RD, MARTINEZ, GA 30907-9459
(706) 814-5053
Mailing address
205 OLD BLACKSTONE CAMP RD, MARTINEZ, GA 30907-9459
(706) 814-5053

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008712
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085YE
BCBS
NC
Enumeration date
06/05/2006
Last updated
10/19/2011
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