Organization
MARY E MARTIN DIABETES CENTER OF EXCELLENCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY K. MARTIN (CEO)
(606) 435-7658
Entity
Organization
Contact information
Practice address
101 TOWN AND COUNTRY LANE, SUITE 105, HAZARD, KY 41701-9524
(606) 435-7681
(606) 435-7524
Mailing address
P.O. BOX 1528, HAZARD, KY 41702-1528
(606) 435-7519
(606) 435-7524
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
07/30/2019
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