Individual
MARTIN THOMAS HALICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-4686
Mailing address
EMORY RADIOLOGY 1364 CLIFTON RD, ATLANTA, GA 30322-0001
(404) 712-4686
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
07/07/2023
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