Organization
R. CRAIG MARTIN, M.D., P.S.C.
Active
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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