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
Phone: (662) 624-3429
Fax: (662) 621-9158
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154423499 | NPPES |
| Mississippi | Other | 14355 | MS MEDICAL LICENSES |
| Mississippi | MEDICAID | 115777 | MS MEDICAL LICENSES |
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