Martin, William Darrell
Martin, William Darrell is an individual health care provider with primary practice located at 1279 Highway 54 W Suite 220, Fayetteville GA 30214-4552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Martin, William Darrell can be contacted via phone (770) 991-2200.Contact Information
Primary practice address
1279 Highway 54 W Suite 220
Fayetteville GA 30214-4552
Phone: (770) 991-2200
Fax: (770) 991-1341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 024841 | Georgia |
Profile Details
| NPI number | 1346251121 |
|---|---|
| LBN Legal business name | Martin, William Darrell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Oct 25th, 2011 - about 13 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 | 1346251121 | NPPES |
| Georgia | MEDICAID | 00280849C |
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