# DR. DAVID C MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568789576
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 047486 | GA | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 04/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0004103643 | AETNA | GA |
| 05 | — | 00860219C | — | GA |
| 01 | — | 10056443 | AMERIGROUP | GA |
| 01 | — | 309143 | WELLCARE | GA |
| 01 | — | 580633978009 | ATHENS AREA HEALTH PLAN SELECT | GA |
| 01 | — | 582652628 | TRICARE | GA |