Individual
MR. MIGUEL J MARTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 SAINT ANDREWS CT, BRUNSWICK, GA 31520-6764
(912) 267-0774
(912) 267-9552
Mailing address
7 SAINT ANDREWS CT, BRUNSWICK, GA 31520-6764
(912) 267-0774
(912) 267-9552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
032428
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00415797A
—
GA
Enumeration date
08/24/2005
Last updated
04/01/2019
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