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Individual

DR. JEFFREY H MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PA

Contact information

Practice address
75 MEDICAL PARK LN, SUITE A, MURPHY, NC 28906-6667
(828) 835-3900
(828) 835-3006
Mailing address
75 MEDICAL PARK LN, SUITE A, MURPHY, NC 28906-6667
(828) 835-3900
(828) 835-3006

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
056322
GA
208800000X
Urology Physician
Primary
9701477
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140R1
BLUE CROSS/BLUE SHIELD
NC
01
1901307
UNITED HEALTH CARE
05
5902636
NC
01
7598763
AETNA INSURANCE
01
854396
BLUE CROSS/BLUE SHIELD
GA
01
9203057845
HUMANA GOLD CHOICE
01
P00256390
MEDICARE RAIL ROAD
Enumeration date
09/28/2006
Last updated
11/19/2007
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