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NPI Code Detail

MEDICARE: DR. GREGORY S. MARTIN MD

MEDICARE:  DR. GREGORY S. MARTIN  MD
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
1207V00000XObstetrics & Gynecology Physician047801GA

Other Identifiers

General Provider Information

NPI Number : 1891875423
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY S. MARTIN MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 1498 JESSE JEWELL PKWY.
Second Line : STE. D
City : GAINESVILLE
State : GA
Zip : 30501-3874
Country : US
Telephone Number : 678-450-4757
Fax Number : 678-450-4758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 11/09/2020

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Directions to “ DR. GREGORY S. MARTIN MD” Practice Location

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