Individual
JORDAN MARTINEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2169 W POINT RD, LAGRANGE, GA 30240-4002
(706) 668-5140
(706) 668-5142
Mailing address
2169 W POINT RD, LAGRANGE, GA 30240-4002
(706) 668-5140
(159) 822-3844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
12/13/2022
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