Provider Demographics
NPI:1245260322
Name:TRUETT, MARTIN EUGENE (MD)
Entity type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:EUGENE
Last Name:TRUETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21970 HIGHWAY 216
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-1006
Mailing Address - Country:US
Mailing Address - Phone:205-613-8276
Mailing Address - Fax:
Practice Address - Street 1:195 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:AL
Practice Address - Zip Code:35042-2935
Practice Address - Country:US
Practice Address - Phone:205-926-2992
Practice Address - Fax:205-926-2993
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00011537207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine