Organization
MICHAEL G. MARTIN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLYNN D KELSO CPC, CCSP (OFFICE MANAGER)
(256) 249-2249
Entity
Organization
Contact information
Practice address
209 W SPRING ST, SUITE 302, SYLACAUGA, AL 35150-2973
(256) 249-2249
(256) 249-8440
Mailing address
209 W SPRING ST, SUITE 302, SYLACAUGA, AL 35150-2973
(256) 249-2249
(256) 249-8440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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