Martin, Lee A

Martin, Lee A is an individual health care provider with primary practice located at 200 W Academy Street , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Martin, Lee A can be contacted via phone (770) 282-8820.

Contact Information

Primary practice address
200 W Academy Street Gainesville GA 30501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 027606 Georgia

Profile Details

NPI number 1093763385
LBN Legal business name Martin, Lee A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 13th, 2021 - about 3 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 1093763385 NPPES
Georgia MEDICAID 000331713E
Georgia MEDICAID 00331713A

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