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NPI Code Detail

MEDICARE: EVA MARTIN M.D.

MEDICARE: EVA MARTIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician25098CO

General Provider Information

NPI Number : 1619932159
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA MARTIN M.D.
Provider Business Mailing Address
First Line : 625 STILLWOOD DR
Second Line :
City : DUBLIN
State : GA
Zip : 31027-2395
Country : US
Telephone Number : 478-275-7210
Fax Number :
Provider Business Practice Location Address
First Line : 1826 VETERANS BLVD
Second Line :
City : DUBLIN
State : GA
Zip : 31021-3620
Country : US
Telephone Number : 478-277-2703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 07/08/2007

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Directions to “ EVA MARTIN M.D.” Practice Location

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