JOHN MICHAEL MARTIN

VANCLEAVE, MS
NPI1962566224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R851501)
Enumeration Date2006-12-21
Last Update Date2007-07-09
Business Address
-- JOHN MICHAEL MARTIN NP
1330 R S KIMBALL
VANCLEAVE, MS 39565
Phone number: 228-826-4600
Mailing Address
-- JOHN MICHAEL MARTIN NP
PO BOX 5386
VANCLEAVE, MS 39565-5386
Phone number: 228-826-4600
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