Individual
MATTHEW GORDON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
8400 HOLCOLM BRIDGE ROAD, SUITE 480, ALPHARETTA, GA 30022
(770) 640-5470
(770) 640-5471
Mailing address
1163 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30068-2764
(770) 321-0155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010188
GA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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