| Joseph H. Martin, Jr., Md, Llc | |
|
550 Peachtree St Ne Ste 1420 Atlanta GA 30308-2241 | |
| (404) 526-9111 | |
| (404) 526-9053 |
| Full Name | Joseph H. Martin, Jr., Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 Peachtree St Ne Ste 1420, Atlanta, Georgia |
| Authorized Official Name and Position | Joseph H Martin (PROPRIETOR) |
| Authorized Official Contact | 4045269111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph H. Martin, Jr., Md, Llc Po Box 54306 Atlanta GA 30308-0306 Ph: (404) 526-9111 | Joseph H. Martin, Jr., Md, Llc 550 Peachtree St Ne Ste 1420 Atlanta GA 30308-2241 Ph: (404) 526-9111 |
| NPI Number | 1700154093 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/01/2011 |
| Medicare PECOS PAC ID | 5698935310 |
|---|---|
| Medicare Enrollment ID | O20120404000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700154093 | NPI | - | NPPES |
| 000305698E | Medicaid | GA | |
| 110198450 | Other | MEDICARE RAILROAD | |
| 5225070003 | Other | GA | BLUE CROSS BLUE SHIELD OF GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 025795 (Georgia) | Primary |
| Provider Name | Joseph H Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437264553 PECOS PAC ID: 9133389810 Enrollment ID: I20120409000313 |
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