Individual
JUSTIN PARISH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2431 W MAIN ST STE 302, DOTHAN, AL 36301-1251
(334) 305-0305
(334) 446-3796
Mailing address
2431 W MAIN ST STE 302, DOTHAN, AL 36301-1251
(334) 305-0305
(334) 464-3796
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
29085
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29085
ALABAMA LICENSE NUMBER
AL
Enumeration date
06/07/2007
Last updated
10/25/2018
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