Individual
DR. THOMAS JASON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3320 OLD JEFFERSON RD, SUITE 200A, ATHENS, GA 30607-1400
(706) 549-5560
(706) 353-0636
Mailing address
3320 OLD JEFFERSON RD, SUITE 200A, ATHENS, GA 30607-1400
(706) 549-5560
(706) 353-0636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69849
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
069849
GA
207RP1001X
Pulmonary Disease Physician
Primary
69849
GA
Other
Enumeration date
11/14/2007
Last updated
09/18/2014
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