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Individual

DR. WILLIAM DEAN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
821 ST. SEBASTIAN WAY, BLDG. HK, AUGUSTA, GA 30912
(706) 721-2971
(706) 721-7248
Mailing address
1125 TROUPE ST, P.O. BOX 2825, AUGUSTA, GA 30914-2825
(706) 737-4575
(706) 731-5289

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
033642
GA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
033642
GA
2085N0700X
Neuroradiology Physician
033642
GA
2085N0904X
Nuclear Radiology Physician
033642
GA
2085P0229X
Pediatric Radiology Physician
033642
GA
2085R0001X
Radiation Oncology Physician
Primary
033642
GA
2085R0203X
Therapeutic Radiology Physician
033642
GA
2085U0001X
Diagnostic Ultrasound Physician
033642
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831207992
NPI - RADIATION ONCOLOGY
05
200000010C
GA
05
G33642
SC
Enumeration date
04/25/2006
Last updated
10/31/2013
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