Individual
DR. HERMAN WILLIAM MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5605 GLENRIDGE DR NE, SUITE 605, ATLANTA, GA 30342-1365
(404) 252-3001
(404) 303-8008
Mailing address
5605 GLENRIDGE DR NE, SUITE 605, ATLANTA, GA 30342-1365
(404) 252-3001
(404) 303-8008
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
16947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16947
MEDICAL LICENSE NUMBER
GA
Enumeration date
03/01/2007
Last updated
07/08/2007
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