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Individual
C GREGORY MARTIN
Active
Individual
C GREGORY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45652
MA
207R00000X
Internal Medicine Physician
Primary
MD51916
SC
Other
Enumeration date
12/12/2006
Last updated
06/11/2024
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