Organization
TM MARTIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE MALLOY MARTIN PC-C (OWNER)
(478) 743-4321
Entity
Organization
Contact information
Practice address
238 WESLEY CIR, MACON, GA 31204-2458
(478) 972-7755
(478) 743-5544
Mailing address
238 WESLEY CIR, MACON, GA 31204-2458
(478) 972-7755
(478) 743-5544
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000239
GA
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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