Organization
M.J. MARTELLI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL JOSE MARTELLI M.D. (OWNER)
(912) 267-0774
Entity
Organization
Contact information
Practice address
7 SAINT ANDREWS CT, BRUNSWICK, GA 31520-6764
(912) 267-0774
(912) 267-9552
Mailing address
7 SAINT ANDREWS CT, BRUNSWICK, GA 31520-6764
(912) 267-0774
(912) 267-9552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
032428
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00415737A
—
GA
Enumeration date
11/19/2007
Last updated
11/19/2007
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