Individual
DR. DAN C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 DRUID PARK AVE STE 101, AUGUSTA, GA 30904-5848
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
024031
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
024031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000288626E
—
GA
05
—
000288626F
—
GA
01
—
048398
BCBS
GA
01
—
050090631
RRMEDICARE
GA
01
—
339275
WELLCARE CMO
GA
01
—
550789920
TRICARE
GA
05
—
G24031
—
SC
Enumeration date
07/07/2006
Last updated
04/01/2026
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