Individual
DR. JAMEL ALPHONSO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 104, BATON ROUGE, LA 70806-7851
(225) 925-9797
(225) 925-9787
Mailing address
8415 GOODWOOD BLVD, SUITE 104, BATON ROUGE, LA 70806-7851
(225) 925-9797
(225) 925-9787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.024319
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1570176
—
LA
Enumeration date
11/23/2005
Last updated
10/22/2013
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