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NPI Code Detail

MEDICARE: DR. LINDSAY CHITWOOD MARTIN O.D.

MEDICARE:  DR. LINDSAY CHITWOOD MARTIN  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT002929GA

General Provider Information

NPI Number : 1528416708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDSAY CHITWOOD MARTIN O.D.
Provider Business Mailing Address
First Line : 1977 BEAR CREEK RD
Second Line :
City : CANON
State : GA
Zip : 30520-1409
Country : US
Telephone Number : 706-599-5407
Fax Number :
Provider Business Practice Location Address
First Line : 58 E DOYLE ST
Second Line :
City : TOCCOA
State : GA
Zip : 30577-3009
Country : US
Telephone Number : 706-886-5214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2016
Last Update Date : 06/03/2022

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Directions to “ DR. LINDSAY CHITWOOD MARTIN O.D.” Practice Location

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