Provider Demographics
NPI:1184775405
Name:MARTIN, ALFRED MARSHALL III (MD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:MARSHALL
Last Name:MARTIN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 742616
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2616
Mailing Address - Country:US
Mailing Address - Phone:770-219-8420
Mailing Address - Fax:770-219-8440
Practice Address - Street 1:5875 THOMPSON MILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-4133
Practice Address - Country:US
Practice Address - Phone:770-848-6195
Practice Address - Fax:770-848-6196
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2015-12-18
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Provider Licenses
StateLicense IDTaxonomies
GA026592207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine