Individual
DR. ROGER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1285 SIMS ST, GAINESVILLE, GA 30501-3851
(770) 536-0149
(770) 536-0317
Mailing address
1285 SIMS ST, GAINESVILLE, GA 30501-3851
(770) 536-0149
(770) 536-0317
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00162731B
—
GA
Enumeration date
10/17/2006
Last updated
08/22/2013
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