Eanes, Mark Joseph

Eanes, Mark Joseph is an individual health care provider with primary practice located at 206 S Patterson St , Valdosta GA 31601-5668. He recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Eanes, Mark Joseph can be contacted via phone (229) 333-5290.

Contact Information

Primary practice address
206 S Patterson St Valdosta GA 31601-5668
Phone: (229) 333-5290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 025970 Georgia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25970 Georgia

Profile Details

NPI number 1205947496
LBN Legal business name Eanes, Mark Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205947496 NPPES
Georgia MEDICAID 000330316D

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