Provider Demographics
NPI:1245410653
Name:MARTIN, THOMAS JASON (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JASON
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3320 OLD JEFFERSON RD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30607-1400
Mailing Address - Country:US
Mailing Address - Phone:706-549-5560
Mailing Address - Fax:706-353-0636
Practice Address - Street 1:3320 OLD JEFFERSON RD
Practice Address - Street 2:SUITE 200A
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30607-1400
Practice Address - Country:US
Practice Address - Phone:706-549-5560
Practice Address - Fax:706-353-0636
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2014-09-18
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Provider Licenses
StateLicense IDTaxonomies
GA69849207RP1001X, 207R00000X
GA069849207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine