# MARTIN HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669652558
- **Authorized official:** MRS. KELLEY MARTIN CFNP (NURSE PRACTITIONER- PRESIDENT)
- **Authorized official phone:** (601) 845-6602

## Contact information

- **Practice address:** 218 EAST MAIN ST, FLORENCE, MS 39073-0530
- **Practice address phone:** (601) 845-6602
- **Practice address fax:** (601) 845-6164
- **Mailing address:** PO BOX 530, FLORENCE, MS 39073-0530
- **Mailing address phone:** (601) 845-6602
- **Mailing address fax:** (601) 845-6164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R814098 | MS | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007