MEDICARE: THE MARTIN CENTER, PC

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
1	174400000X	Specialist	00015159	AL

General Provider Information

NPI Number	:	1669565743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MARTIN CENTER, PC

Provider Business Mailing Address
First Line	:	4621 MORRISON DR
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-3353
Country	:	US
Telephone Number	:	251-344-7474
Fax Number	:	251-414-3015

Provider Business Practice Location Address
First Line	:	4621 MORRISON DR
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-3353
Country	:	US
Telephone Number	:	251-344-7474
Fax Number	:	251-414-3015

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JANET MARTIN
Credential	:
Telephone Number	:	251-344-7474

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/27/2012

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Directions to “THE MARTIN CENTER, PC ” Practice Location

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