Individual
TODD C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5100
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N9599
TX
208M00000X
Hospitalist Physician
Primary
067824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126334A
—
GA
Enumeration date
06/14/2011
Last updated
03/07/2018
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