Individual
ANTHONY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.T.F.A
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
(470) 788-6192
Mailing address
3720 TERILYNN DR, LONGVIEW, TX 75604-1027
(404) 605-5000
(470) 788-6192
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
199904
TX
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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