Individual
JILL MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 TURNER MCCALL BLVD SW STE 2000, ROME, GA 30165-5618
(706) 291-5360
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
57968
WI
207X00000X
Orthopaedic Surgery Physician
60512
MN
207X00000X
Orthopaedic Surgery Physician
Primary
95068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871883926
—
WI
Enumeration date
04/11/2011
Last updated
07/03/2023
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