Organization
JOSEPH H. MARTIN, JR., MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H MARTIN JR. MD (PROPRIETOR)
(404) 526-9111
Entity
Organization
Contact information
Practice address
550 PEACHTREE ST NE STE 1420, ATLANTA, GA 30308-2241
(404) 526-9111
(404) 526-9053
Mailing address
PO BOX 54306, ATLANTA, GA 30308-0306
(404) 526-9111
(404) 526-9053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000305698E
—
GA
01
—
110198450
MEDICARE RAILROAD
—
01
—
5225070003
BLUE CROSS BLUE SHIELD OF GA
GA
Enumeration date
12/01/2011
Last updated
12/01/2011
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