| Christopher Martin | |
|
618 Bowens Mill Rd Sw Douglas GA 31533-3926 | |
| (912) 310-2390 | |
| (912) 701-0472 |
| Full Name | Christopher Martin |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 618 Bowens Mill Rd Sw, Douglas, Georgia |
| Authorized Official Name and Position | Christopher Martin (OWNER) |
| Authorized Official Contact | 9122926393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Martin 618 Bowens Mill Rd Sw Douglas GA 31533-3926 Ph: (912) 310-2390 | Christopher Martin 618 Bowens Mill Rd Sw Douglas GA 31533-3926 Ph: (912) 310-2390 |
| NPI Number | 1417820804 |
|---|---|
| Provider Enumeration Date | 09/24/2025 |
| Last Update Date | 09/24/2025 |
| Certification Date | 09/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417820804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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