Individual
LEON MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2701 NORTH DECATUR ROAD, DECATUR, GA 30033
(404) 501-1849
Mailing address
4200 RIVER BOTTOM DR, NORCROSS, GA 30092-1300
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
026594
GA
207Q00000X
Family Medicine Physician
026594
GA
207R00000X
Internal Medicine Physician
026594
GA
208VP0000X
Pain Medicine Physician
026594
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000345672E
—
GA
05
—
000345672F
—
GA
Enumeration date
06/21/2006
Last updated
12/28/2020
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