Individual
MR. JOHN ROBERT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3651 WHEELER RD., AUGUSTA, GA 30909
(706) 651-3232
Mailing address
3203 W WIMBLEDON DR., AUGUSTA, GA 30909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11248
NC
363A00000X
Physician Assistant
7783
GA
Other
Enumeration date
10/28/2015
Last updated
08/20/2021
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