Individual
LAWRENCE E MARABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3661 EISENHOWER PKWY, SUITE # 268, MACON, GA 31206-3649
(478) 474-8037
(478) 474-8367
Mailing address
3661 EISENHOWER PKWY, SUITE # 268, MACON, GA 31206-3649
(478) 474-8037
(478) 474-8367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10227
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00302772B
—
GA
05
—
00302772C
—
GA
Enumeration date
06/21/2006
Last updated
12/19/2013
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