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General NPI Number Information
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NPI Number | 1982885919
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Entity Type | Organization
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Legal Business Name | JEFFREY H MARTIN MD PA
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 47 WEAVER RD SUITE B
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3136
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Country | US
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Telephone | 706-745-3862
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Fax | 706-745-3179
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Provider Business Mailing Address
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Address Line | STE-A 75 MEDICAL PARK LN
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City | MURPHY
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State | NC
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Zip | 28906-6673
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Country | US
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Telephone | 828-835-3900
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Fax | 828-835-3006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY H MARTIN MD PA
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Credential | MD
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Telephone | 828-835-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | GA
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