# KEITH C. MARTIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013690601
- **Authorized official:** KEITH C MARTIN MD (PHYSICIAN OWNER)
- **Authorized official phone:** (334) 398-1636

## Contact information

- **Practice address:** 7065 SYDNEY CURV, MONTGOMERY, AL 36117-3509
- **Practice address phone:** (334) 647-1007
- **Practice address fax:** (334) 647-1117
- **Mailing address:** 69 AVA LN, WETUMPKA, AL 36093-3457
- **Mailing address phone:** (334) 647-1007
- **Mailing address fax:** (334) 647-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 08/09/2023