Individual
DR. DAVID C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13375 JONES ST STE C, LAVONIA, GA 30553-1147
(706) 356-5439
(706) 356-5897
Mailing address
13375 JONES ST STE C, LAVONIA, GA 30553-1147
(706) 356-5439
(706) 356-5897
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047486
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004103643
AETNA
GA
05
—
00860219C
—
GA
01
—
10056443
AMERIGROUP
GA
01
—
309143
WELLCARE
GA
01
—
580633978009
ATHENS AREA HEALTH PLAN SELECT
GA
01
—
582652628
TRICARE
GA
Enumeration date
04/29/2010
Last updated
04/29/2010
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