Individual
MR. JEFFREY SCOTT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
I.D.C
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-2939
(912) 573-4534
Mailing address
100 LAKE VIEW CT, KINGSLAND, GA 31548-7809
(912) 673-6204
(912) 573-4534
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/28/2006
Last updated
03/30/2010
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