Dr. Lisa Wooten Martin, O.D.
Optometrist in Bainbridge, GA. Individual provider (NPI-1).
NPI number1457583239
StatusActive
Last updated in NPPESSep 13, 2017
Details
- NPI
- 1457583239
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Wooten Martin
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2009
- Last updated
- Sep 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT002548 | GA | Yes |
Practice location
603 Wheat AveSuite 650
Bainbridge, GA 39819-4360
Phone 229-243-8597 · Fax 229-243-1506
Mailing address
603 Wheat AveSuite 650
Bainbridge, GA 39819-4360
Phone 229-243-8597 · Fax 229-243-1506
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All 10 Optometrist providers in Bainbridge · All 338 providers in Bainbridge
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