Individual
DR. GEORGE M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 WAILEA IKE PL STE A104, KIHEI, HI 96753-6502
(808) 875-0511
(808) 875-8595
Mailing address
41 E LIPOA STREET, SUITE 21, KIHEI, HI 96753-8148
(808) 875-0511
(808) 875-8595
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD6819
HI
207NS0135X
Procedural Dermatology Physician
MD6819
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529216
—
HI
Enumeration date
07/18/2006
Last updated
06/12/2023
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