Individual
DR. JONATHAN GILBERT MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 0G.4532, ATLANTA, GA 30308-2212
(404) 712-7118
Mailing address
550 PEACHTREE ST NE, SUITE 0G.4532, ATLANTA, GA 30308-2212
(404) 712-7118
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
76229
GA
390200000X
Student in an Organized Health Care Education/Training Program
164961
NC
Other
Enumeration date
06/16/2010
Last updated
03/08/2017
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