Martin, Jeanne M

Martin, Jeanne M is an individual health care provider with primary practice located at 1500 Oglethorpe Ave Ste. 2500, Athens GA 30606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Martin, Jeanne M can be contacted via phone (706) 548-7909.

Contact Information

Primary practice address
1500 Oglethorpe Ave Ste. 2500 Athens GA 30606
Phone: (706) 548-7909
Fax: (706) 548-7973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 060405 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 060405 Georgia

Profile Details

NPI number 1063543080
LBN Legal business name Martin, Jeanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jun 28th, 2018 - about 6 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 1063543080 NPPES
Georgia MEDICAID 494634830A

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