Individual
MATTHEW HARRISON MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
840 PINE ST STE 500, MACON, GA 31201-7530
(478) 633-8682
(478) 633-8698
Mailing address
840 PINE ST STE 500, MACON, GA 31201-7530
(478) 633-8682
(478) 633-8698
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
079422
GA
207XX0801X
Orthopaedic Trauma Physician
Primary
79422
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2013
Last updated
09/08/2020
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