Individual
ARDENNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DRIVE, MOORER BLDG. ROOM 120, MOBILE, AL 36617-2300
(251) 471-7786
(251) 471-7884
Mailing address
2451 UNIVERSITY HOSPITAL DRIVE, MOORER BLDG. ROOM 120, MOBILE, AL 36617-2300
(251) 471-7786
(251) 471-7884
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L.6241R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2024
Last updated
09/24/2024
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