Individual
MR. GREGORY ASHLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
126 BROAD ST, HAWKINSVILLE, GA 31036-4815
(478) 783-4700
(478) 783-4706
Mailing address
126 BROAD ST, HAWKINSVILLE, GA 31036-4815
(405) 409-3931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12666
OK
Other
Enumeration date
10/14/2011
Last updated
12/23/2022
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