Individual
VINCENT LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
502 GENTILLY RD, STATESBORO, GA 30458-5149
(912) 764-6456
(912) 489-1032
Mailing address
502 GENTILLY RD, STATESBORO, GA 30458-5149
(912) 764-6456
(912) 489-1032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001452
GA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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