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Individual

DR. DAVID E. MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(912) 261-2669
(912) 261-0561
Mailing address
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(912) 261-2669
(912) 261-0561

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
032955
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00495789C
GA
01
220016739
RAILROAD MEDICARE
GA
Enumeration date
02/24/2006
Last updated
03/20/2019
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