Martell, John R

Martell, John R is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Martell, John R can be contacted via phone (706) 721-4666.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-4666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X L3007 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 051062 Georgia

Profile Details

NPI number 1205829249
LBN Legal business name Martell, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 29th, 2008 - about 16 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 1205829249 NPPES
South Carolina MEDICAID G51062
South Carolina MEDICAID 000934557E
South Carolina MEDICAID 000934557F
South Carolina MEDICAID 000934557D

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