Individual
MICHAEL TIMOTHY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1133 COMMERCE DR APT 431, DECATUR, GA 30030-5135
(470) 430-1746
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
44529
GA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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