Individual
MR. JERRY K MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 EARL FRYE BLVD STE A, AMORY, MS 38821-5507
(662) 256-9331
(662) 597-6008
Mailing address
900 EARL FRYE BLVD STE A, AMORY, MS 38821-5507
(662) 256-9331
(662) 597-6008
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16529
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125758
—
MS
Enumeration date
09/12/2005
Last updated
03/21/2025
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