Organization
DAVID EUGENE MARTIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E. MARTIN MD (PRESIDENT)
(706) 845-3175
Entity
Organization
Contact information
Practice address
1514 VERNON RD, WEST GEORGIA HEALTH SYSTEM, LAGRANGE, GA 30240-4131
(706) 845-3175
(706) 845-3094
Mailing address
102 WOODCHASE, LAGRANGE, GA 30240-9734
(706) 885-1349
(706) 845-3094
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032215B
—
GA
Enumeration date
02/23/2006
Last updated
10/29/2008
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