Individual
MARTHA JO CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1716 TEMPLE AVE N, FAYETTE, AL 35555
(205) 932-2497
(205) 932-2539
Mailing address
1716 TEMPLE AVE N, FAYETTE, AL 35555
(205) 932-2497
(205) 932-2539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AL21289
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051274
—
AL
01
—
51099937
BC
AL
Enumeration date
12/15/2006
Last updated
02/03/2010
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