Individual
JED MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 MAIN ST, HURTSBORO, AL 36860
(334) 703-7049
Mailing address
2413 CRAWFORD RD, PHENIX CITY, AL 36867-3648
(334) 298-2577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14368
AL
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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