Individual
PATRICK MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4315 GOLF CLUB DR APT 6006, AUBURN, AL 36830-5896
(256) 714-3599
Mailing address
4315 GOLF CLUB DR APT 6006, AUBURN, AL 36830-5896
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12759
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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