Organization
MARTHA JO CHRISTIAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA J CHRISTIAN MD (PRESIDENT)
(205) 932-2497
Entity
Organization
Contact information
Practice address
1716 TEMPLE AVE N, FAYETTE, AL 35555-1309
(205) 932-2497
(205) 932-2539
Mailing address
1716 TEMPLE AVE N, FAYETTE, AL 35555-1309
(205) 932-2497
(205) 932-2539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21289
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99937
BC
AL
Enumeration date
07/12/2005
Last updated
08/22/2020
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