Individual
DR. ULYSSES LUTHER MARABLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1030 PEACH PKWY, SUITE 99, FORT VALLEY, GA 31030-8181
(478) 825-3000
(478) 825-3099
Mailing address
PO BOX 1057, FORT VALLEY, GA 31030-1057
(478) 825-3000
(478) 825-3099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013223
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2013
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