Individual
ADAM C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
461 E MADISON AVE, BASTROP, LA 71220-3829
(318) 417-4848
Mailing address
1834 CAWTHON ROAD, PIONEER, LA 71266
(318) 417-4848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z11064
LA
Other
Enumeration date
02/07/2008
Last updated
12/13/2018
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