Individual provider · Type 1 NPI

Michael C. Martin, PA-C

Medical Physician Assistant · Decatur, GA

NPI number 1023415528 Active

Practice location

315 W Ponce De Leon Ave Ste 110
Decatur, GA 30030-2441

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9109166 (FL)
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700X7437 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1023415528

Michael C. Martin, PA-C's National Provider Identifier is 1023415528, issued on Nov 26, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, GA. The record was last updated on Apr 22, 2025.