Individual
HEATH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
307 E 3RD AVE, CORDELE, GA 31015-3208
(229) 271-4612
Mailing address
307 E 3RD AVE, CORDELE, GA 31015-3208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013835
GA
225200000X
Physical Therapy Assistant
PTA001697
GA
Other
Enumeration date
05/15/2014
Last updated
07/26/2022
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