Individual provider · Type 1 NPI

Reginald Willis Martin, MD

Surgery Physician · Jackson, MS

NPI number 1679692396 Active

Practice location

971 Lakeland Dr Ste 211
Jackson, MS 39216-4607

Fax (601) 200-4356

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XMS 13610 (MS)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1679692396

Reginald Willis Martin, MD's National Provider Identifier is 1679692396, issued on Mar 28, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Jackson, MS. The record was last updated on Mar 13, 2014.