Individual
DR. MATTHEW GREGORY MARTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9223
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9223
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TRN15488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014421600
—
FL
Enumeration date
06/22/2010
Last updated
04/03/2015
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