Organization
SHILOH WOUND CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E MARTIN MD (PRES)
(912) 486-1163
Entity
Organization
Contact information
Practice address
1497 FAIR RD STE 103, STATESBORO, GA 30458-0823
(912) 486-1163
(866) 795-4593
Mailing address
3525 PIEDMONT RD NE STE 601, BLDG. 7, ATLANTA, GA 30305-1578
(404) 842-5423
(404) 848-1229
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
025229
GA
Other
Enumeration date
08/29/2007
Last updated
09/01/2010
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