Individual
PATRICK L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 MEDICAL PARK, VALLEY, AL 36854-3665
(334) 756-2203
(334) 756-2213
Mailing address
10 MEDICAL PARK, WEST POINT, GA 31833-5225
(334) 756-2207
(334) 756-2213
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22670
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51020415
BLUE CROSS ALABAMA
AL
Enumeration date
12/11/2006
Last updated
11/18/2015
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