Organization
R. CRAIG MARTIN, M.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CRAIG MARTIN M.D. (OWNER)
(502) 863-0721
Entity
Organization
Contact information
Practice address
1138 LEXINGTON RD, SUITE 290, GEORGETOWN, KY 40324-9672
(502) 863-0721
Mailing address
1138 LEXINGTON RD, SUITE 290, GEORGETOWN, KY 40324-9672
(502) 863-0721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64296296
—
KY
Enumeration date
09/19/2007
Last updated
12/27/2012
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