Martin, Earl T

Martin, Earl T is an individual health care provider with primary practice located at 218 Quarterman St , Waycross GA 31501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Earl T can be contacted via phone (912) 287-9140.

Contact Information

Primary practice address
218 Quarterman St Waycross GA 31501
Phone: (912) 287-9140
Fax: (912) 287-1059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 028602 Georgia

Profile Details

NPI number 1215948260
LBN Legal business name Martin, Earl T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 21st, 2022 - about 4 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 1215948260 NPPES
Georgia Other 52407006 BLUE CROSS BLUE SHIELD GA
Georgia MEDICAID 10053757 BLUE CROSS BLUE SHIELD GA
Georgia Other GRP2665 BLUE CROSS BLUE SHIELD GA
Georgia MEDICAID 000324156I BLUE CROSS BLUE SHIELD GA

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