Individual
GEORGE E MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 N COBB ST, STE 120, MILLEDGEVILLE, GA 31061-2390
(478) 452-5515
(478) 452-5517
Mailing address
PO BOX 28650, MACON, GA 31221-8650
(478) 452-5515
(478) 452-5517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047982
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00931664A
—
GA
Enumeration date
09/08/2005
Last updated
03/09/2011
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