Martin, Andrew Ayers

Martin, Andrew Ayers is an individual health care provider with primary practice located at 1970 Hospital Dr , Clarksdale MS 38614-7202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Martin, Andrew Ayers can be contacted via phone (662) 624-3429.

Contact Information

Primary practice address
1970 Hospital Dr Clarksdale MS 38614-7202
Fax: (662) 621-9158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 14355 Mississippi

Profile Details

NPI number 1154423499
LBN Legal business name Martin, Andrew Ayers
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Mar 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154423499 NPPES
Mississippi Other 14355 MS MEDICAL LICENSES
Mississippi MEDICAID 115777 MS MEDICAL LICENSES

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