Individual provider · Type 1 NPI

Jesse Q. Martin, PA-C

Medical Physician Assistant · Cartersville, GA

NPI number 1609174093 Active

Practice location

100 Market Place Blvd, Suite 200
Cartersville, GA 30121-8718

Fax (770) 382-6424

Mailing address

1700 Hospital South Dr, Suite 300
Austell, GA 30106-6810

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X006066 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1609174093

Jesse Q. Martin, PA-C's National Provider Identifier is 1609174093, issued on Mar 9, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cartersville, GA. The record was last updated on Jun 9, 2011.