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Individual

ANTHONY MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY STE 1400, AUGUSTA, GA 30901-2603
(706) 724-6100

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23400
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64234008
KY
Enumeration date
12/23/2005
Last updated
12/11/2015
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