Healthcare Provider Details

I. General information

NPI: 1487577227
Provider Name (Legal Business Name): MARTIN MEDIA HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8375 DUNWOODY PL # 10021
SANDY SPRINGS GA
30350-3307
US

IV. Provider business mailing address

8375 DUNWOODY PL # 10021
SANDY SPRINGS GA
30350-3307
US

V. Phone/Fax

Practice location:
  • Phone: 404-726-9492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC MARTIN
Title or Position: REPRESENTATIVE
Credential:
Phone: 404-726-9492