Provider Demographics
NPI:1245215367
Name:C H MARTIN COMPANY
Entity Type:Organization
Organization Name:C H MARTIN COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:COUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:404-525-1533
Mailing Address - Street 1:329 MARIETTA ST NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30313-1600
Mailing Address - Country:US
Mailing Address - Phone:404-525-1533
Mailing Address - Fax:
Practice Address - Street 1:329 MARIETTA ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30313-1600
Practice Address - Country:US
Practice Address - Phone:404-525-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C H MARTIN COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-12
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00039531AMedicaid
GA00039531BMedicaid
GA0205570004Medicare NSC