Individual
MR. MARTIN JOHN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, ATC
Contact information
Practice address
911 E 70TH ST, SAVANNAH, GA 31405-4814
(912) 355-0123
(912) 355-3856
Mailing address
911 E 70TH ST, SAVANNAH, GA 31405-4814
(912) 355-0123
(912) 355-3856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT004370
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT000329
GEORGIA BOARD OF AT
GA
01
—
PT004370
STATE BOARD PT
GA
Enumeration date
11/29/2006
Last updated
07/08/2007
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