Organization
VINCENT E. MARTIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT E MARTIN JR. M.D. (PRESIDENT)
(334) 493-2342
Entity
Organization
Contact information
Practice address
702 N MAIN ST, OPP, AL 36467-1626
(334) 493-2342
(334) 493-2552
Mailing address
702 N MAIN ST, OPP, AL 36467-1626
(334) 493-2342
(334) 493-2552
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00015250
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529925140
—
AL
01
—
DD6290
RAILROAD MEDICARE
AL
Enumeration date
07/10/2007
Last updated
10/14/2011
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