GERALD S MARTIN

CARBONDALE, IL
NPI1770014748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209015754)
Enumeration Date2017-03-22
Last Update Date2022-09-26
Business Address
GERALD S MARTIN NP
404 S LEWIS LN
CARBONDALE, IL 62901-3547
Phone number: 618-519-9200
Mailing Address
GERALD S MARTIN NP
109 CALIFORNIA ST PO BOX 577
CARTERVILLE, IL 62918
Phone number: 618-519-9200
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