Individual
C MARTIN CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 FAIRVIEW PARK DR, DUBLIN, GA 31021-2565
(478) 277-1255
(478) 304-1467
Mailing address
PO BOX 1528, DUBLIN, GA 31040-1528
(478) 272-1366
(478) 275-2322
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
038202
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000754641A
—
GA
01
—
1771155
UNITED HEALTHCARE
GA
01
—
5111445
FIRST HEALTH
GA
01
—
52450856-001
BCBS
GA
01
—
7989248
AETNA
GA
Enumeration date
01/05/2006
Last updated
10/17/2019
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