Individual provider · Type 1 NPI
Jeremy Ward Martin, DC
Chiropractor · Lawrenceville, GA
NPI number
1104833508
Active
Practice location
132 Hurricane Shoals Rd NE, Suite B
Lawrenceville, GA 30045-4476
Fax (770) 237-5891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR006280 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1104833508
Jeremy Ward Martin, DC's National Provider Identifier is 1104833508, issued on Aug 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 8, 2007.