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Individual
JAMES HENRY MARTIN III
Active
Individual
JAMES HENRY MARTIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3558
KY
363AM0700X
Medical Physician Assistant
PA3558
KY
363AS0400X
Surgical Physician Assistant
PA3558
KY
Other
Enumeration date
05/17/2024
Last updated
01/13/2025
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