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Individual

DR. ERIC D MARKS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.TH, M.TH, CTC, CPC

Contact information

Practice address
406 RIDLEY AVE STE 1, LAGRANGE, GA 30240-2232
(706) 489-6163
Mailing address
406 RIDLEY AVE, LAGRANGE, GA 30240-2232
(706) 489-6163

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
22468
GA

Other

Enumeration date
02/13/2023
Last updated
02/13/2023
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