Individual
DR. WILLIAM ALLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7148 U S HIGHWAY 98, SUITE 101, HATTIESBURG, MS 39402-9142
(601) 261-1500
(601) 296-7549
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1500
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24424
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06250816
—
MS
Enumeration date
04/30/2014
Last updated
07/07/2017
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