Individual
ANTHONY KEITH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 HOSPITAL DR BLDG C STE 315, MACON, GA 31217
(478) 750-8606
(478) 750-0470
Mailing address
330 HOSPITAL DR BLDG C STE 315, MACON, GA 31217-3899
(478) 750-8606
(478) 750-0470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36815
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00544629B
—
GA
Enumeration date
07/17/2006
Last updated
10/07/2019
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