Martha Jo Christian Md Pc

NPI 1083612295 - Internal Medicine - 207R00000X

NPI Details
NPI 1083612295
Enumeration Date 07/12/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARTHA J MARTHA
Position PRESIDENT
Phone (205) 932-2497
Fax (205) 932-2539
Practice Location
1716 TEMPLE AVE N
FAYETTE AL, 35555-1309, US
Phone (205) 932-2497
Fax (205) 932-2539
Business Location
1716 TEMPLE AVE N
FAYETTE AL, 35555-1309, US
Phone (205) 932-2497
Fax (205) 932-2539
Toxanomy
Taxonomy Code 207R00000X
License State Alabama
License Number 21289
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According to our database, Martha Jo Christian Md Pc NPI is 1083612295, taxonomy code is 207R00000X and license number is 21289, license state is located at Alabama. Martha Jo Christian Md Pc physically located at 1716 Temple Ave N, Fayette AL, 35555-1309. NPI Number 1033115704 has the healthcare provider type.

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1083612295 NPI number is provided on an as is basis without warranty of any kind. 1083612295 is maintained by the National Plan & Provider Enumeration System. The contents of Martha Jo Christian Md Pc are for informational purposes only.