Individual
ELIZABETH MCKELVEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 BROOKSTONE CENTRE PKWY BLDG 200, COLUMBUS, GA 31904-4501
(706) 256-0700
(706) 256-0708
Mailing address
2401 BROOKSTONE CENTRE PKWY BLDG 200, COLUMBUS, GA 31904-4501
(706) 256-0700
(866) 390-9155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00672218C
—
GA
Enumeration date
08/17/2006
Last updated
06/26/2019
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