MR. Martin Lyle Plog, L.P.C.

NPI #1184679680 in Jefferson, Georgia

Provider Information

NPI Number
1184679680
Entity Type
Individual
Name
MR. Martin Lyle Plog, L.P.C.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Counselor - Professional
Credential
L.P.C.
Enumeration Date
May 23, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2610 HIGHWAY 129 N
State
Georgia
ZIP Code
30549-2652
Phone
(706) 367-1008

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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