| R. Craig Martin, M.d., P.s.c. | |
|
1138 Lexington Rd Suite 290 Georgetown KY 40324-9672 | |
| (502) 863-0721 | |
| Not Available |
| Full Name | R. Craig Martin, M.d., P.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1138 Lexington Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Robert Craig Martin (OWNER) |
| Authorized Official Contact | 5028630721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Craig Martin, M.d., P.s.c. 1138 Lexington Rd Suite 290 Georgetown KY 40324-9672 Ph: (502) 863-0721 | R. Craig Martin, M.d., P.s.c. 1138 Lexington Rd Suite 290 Georgetown KY 40324-9672 Ph: (502) 863-0721 |
| NPI Number | 1245426675 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 12/27/2012 |
| Medicare PECOS PAC ID | 5597899252 |
|---|---|
| Medicare Enrollment ID | O20100817000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245426675 | NPI | - | NPPES |
| 64296296 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29629 (Kentucky) | Primary |
| Provider Name | Robert Craig Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225020399 PECOS PAC ID: 9830223593 Enrollment ID: I20100817000507 |
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