Individual
DR. JOHN R MARTELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4666
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
(706) 722-5187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
051062
GA
207X00000X
Orthopaedic Surgery Physician
Primary
L3007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000934557D
—
GA
05
—
000934557E
—
GA
05
—
000934557F
—
GA
05
—
G51062
—
SC
Enumeration date
08/24/2005
Last updated
08/29/2008
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