Individual
DR. ENRIQUE C. MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3114A SHRINE RD, BRUNSWICK, GA 31520-4745
(912) 261-2535
(912) 261-2508
Mailing address
3114 A SHRINE ROAD, BRUNSWICK, GA 31520-4745
(912) 261-2535
(912) 261-2508
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28603
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000325531A
—
GA
Enumeration date
07/20/2005
Last updated
03/27/2014
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