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Individual
MARTIN C LAXSON
Active
Individual
MARTIN C LAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002522
GA
363AS0400X
Surgical Physician Assistant
Primary
002522
GA
Other
Enumeration date
11/27/2007
Last updated
11/13/2020
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