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Organization
DAVID EUGENE MARTIN MD PC
Active
Organization
DAVID EUGENE MARTIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E. MARTIN MD (PRESIDENT)
(706) 845-3175
Entity
Organization
Contact information
Practice address
1514 VERNON RD, WEST GEORGIA HEALTH SYSTEM, LAGRANGE, GA 30240-4131
(706) 845-3175
(706) 845-3094
Mailing address
102 WOODCHASE, LAGRANGE, GA 30240-9734
(706) 885-1349
(706) 845-3094
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032215B
—
GA
Enumeration date
02/23/2006
Last updated
10/29/2008
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