Martin, Roger
Martin, Roger is an sole proprietor health care provider with primary practice located at 1285 Sims St , Gainesville GA 30501-3851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Martin, Roger can be contacted via phone (770) 536-0149.Contact Information
Primary practice address
1285 Sims St
Gainesville GA 30501-3851
Phone: (770) 536-0149
Fax: (770) 536-0317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 016639 | Georgia |
Profile Details
| NPI number | 1750461349 |
|---|---|
| LBN Legal business name | Martin, Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Aug 22nd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750461349 | NPPES |
| Georgia | MEDICAID | 00162731B |
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