Individual
JESS M MARTINEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 DAN PROCTOR DR, SAINT MARYS, GA 31558-3810
(919) 477-5152
(919) 477-5474
Mailing address
PO BOX 15385, DURHAM, NC 27704-0385
(919) 477-5152
(919) 477-5474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
050224
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234687
BLUE CROSS
GA
Enumeration date
02/17/2006
Last updated
07/08/2007
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