Provider Demographics
NPI:1437264553
Name:MARTIN, JOSEPH H JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
Last Name:MARTIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 54306
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-0306
Mailing Address - Country:US
Mailing Address - Phone:404-526-9111
Mailing Address - Fax:404-526-9053
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:SUITE 1420
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-526-9111
Practice Address - Fax:404-526-9053
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA025795207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0464979OtherAETNA
582501OtherCIGNA
GA000305698EMedicaid
GA52250730003OtherBLUE CROSS BLUE SHIELD
04-01258OtherUNITED HEALTHCARE
4213676OtherAETNA US HEALTHCARE
GA110198450OtherMEDICARE RAILROAD
GA4522OtherKAISER PERMANENTE
GA110198450OtherMEDICARE RAILROAD
582501OtherCIGNA