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Individual
CECIL D MARTIN
Active
Individual
CECIL D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01042890
IN
207Q00000X
Family Medicine Physician
Primary
15531
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000076887
ANTHEM BCBS
IN
01
—
000019257Q
HUMANA
—
01
—
01-00445
UNITED HEALTHCARE
—
01
—
010065441
MEDICARE RAILROAD
—
01
—
1050552
PASSPORT KY MEDICAID
KY
01
—
5912036
AETNA
—
05
—
64155310
—
KY
01
—
KY9904P
SIHO
IN
Enumeration date
07/05/2006
Last updated
07/21/2022
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