Organization
C H MARTIN COMPANY
Active
Parent organization
C H MARTIN COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
C H MARTIN COMPANY
Authorized official
MS. DORIS WILKES (AUTHORIZED OFFICIAL)
(478) 224-1061
Entity
Organization
Contact information
Practice address
170 SHORTER AVE, NW, ROME, GA 30165
(706) 236-9911
(706) 236-1937
Mailing address
329 MARIETTA ST NW, ATLANTA, GA 30313-1600
(404) 525-1533
(404) 525-9819
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00039531A
—
GA
05
—
00039531B
—
GA
Enumeration date
03/05/2007
Last updated
03/07/2017
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