TERENCE MALLOY MARTIN

MACON, GA
NPI1578616868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  000239)
Enumeration Date2007-01-19
Last Update Date2015-09-15
Business Address
-- TERENCE MALLOY MARTIN PA-C
1600 FORSYTH ST
MACON, GA 31201-1408
Phone number: 478-743-3000
Mailing Address
-- TERENCE MALLOY MARTIN PA-C
1600 FORSYTH ST
MACON, GA 31201-1408
Phone number: 478-743-3000
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