Martin, John Edward

Martin, John Edward is an sole proprietor health care provider with primary practice located at 1497 Fair Rd Suite 103, Statesboro GA 30458-0822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Martin, John Edward can be contacted via phone (912) 486-1163.

Contact Information

Primary practice address
1497 Fair Rd Suite 103 Statesboro GA 30458-0822
Phone: (912) 486-1163
Fax: (866) 795-4593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25229 Georgia

Profile Details

NPI number 1316016819
LBN Legal business name Martin, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Sep 24th, 2018 - about 8 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 1316016819 NPPES
Georgia MEDICAID 000346376B
Georgia Other P00387675
Georgia Other 1073707436

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