Martin, Roger

Martin, Roger is an sole proprietor health care provider with primary practice located at 1285 Sims St , Gainesville GA 30501-3851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Martin, Roger can be contacted via phone (770) 536-0149.

Contact Information

Primary practice address
1285 Sims St Gainesville GA 30501-3851
Phone: (770) 536-0149
Fax: (770) 536-0317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 016639 Georgia

Profile Details

NPI number 1750461349
LBN Legal business name Martin, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Aug 22nd, 2013 - about 13 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 1750461349 NPPES
Georgia MEDICAID 00162731B

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