Individual
DR. WILLIAM DARRELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214-4552
(770) 991-2200
(770) 991-1341
Mailing address
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214-4552
(770) 991-2200
(770) 991-1341
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
024841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00280849C
—
GA
Enumeration date
08/10/2006
Last updated
10/25/2011
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