Irvin L. Martin in Meridian - Sports Medicine

Irvin L. Martin - NPI 1447243472

Irvin L. Martin is a Sports Medicine in Meridian, Mississippi. Irvin L. Martin practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Irvin L. Martin is 1447243472. The last update date is 2013-11-07.

Irvin L. Martin's current location address is 1800 12th St, Meridian, Mississippi. You can contact this provider via phone number 6017039231 and fax number 6017034352. The mailing address for Irvin L. Martin is 1800 12th St, Meridian, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Irvin L. Martin
Address 1800 12th St, Meridian, Mississippi
Phone Number 6017039231
Fax Number 6017034352
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1447243472
Provider Enumeration Date 2005-08-24
Last Updated Date 2013-11-07

Provider Mailing Address Detail

Address 1800 12th St
City Meridian
State Mississippi (MS)
Post Code 393014158
Phone Number 6017039231
Fax Number 6017034352

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 12862
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
115751 MS --
200021882 RAIL ROAD MEDICARE
9504900 AL MEDICAID OF AL
73073633 AL BLUE CROSS OF AL

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FAQs about Irvin L. Martin

What is the unique provider identifier assigned to Irvin L. Martin?

The Irvin L. Martin has been issued the NPI (National Provider Identifier) 1447243472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Irvin L. Martin's facilities are geographically located?

The facilities of Irvin L. Martin are physically situated at the following location: 1800 12Th St, Meridian, MS, 393014158.

What is the Irvin L. Martin's specialty and taxonomy code?

The Irvin L. Martin's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.

On what date did the Irvin L. Martin receive its 1447243472 assignment from the Centers for Medicare & Medicaid Services?

The Irvin L. Martin was assigned its 1447243472 by the Centers for Medicare & Medicaid Services on 2005-08-24.

When was the information related to Irvin L. Martin most recently updated or refreshed?

The details pertaining to the Irvin L. Martin, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-11-07.

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