| Mary E Martin Diabetes Center Of Excellence, Inc | |
|
101 Town And Country Lane Suite 105 Hazard KY 41701-9524 | |
| (606) 435-7681 | |
| (606) 435-7524 |
| Full Name | Mary E Martin Diabetes Center Of Excellence, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 101 Town And Country Lane, Hazard, Kentucky |
| Authorized Official Name and Position | Barry K. Martin (CEO) |
| Authorized Official Contact | 6064357658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Martin Diabetes Center Of Excellence, Inc P.o. Box 1528 Hazard KY 41702-1528 Ph: (606) 435-7519 | Mary E Martin Diabetes Center Of Excellence, Inc 101 Town And Country Lane Suite 105 Hazard KY 41701-9524 Ph: (606) 435-7681 |
| NPI Number | 1245794403 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245794403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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