Individual
MR. GUY WAYNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
2588 MAIN ST, MILLBROOK, AL 36054-3849
(334) 285-5544
Mailing address
PO BOX 768, MILLBROOK, AL 36054-0016
(334) 285-5544
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
4078
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-50063
BC/BS OF ALABAMA
AL
Enumeration date
06/12/2013
Last updated
06/12/2013
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