Individual
JAMES MARVIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2499
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-048650
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051532460
BCBS
AL
Enumeration date
04/17/2006
Last updated
07/08/2007
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