VINCENT E MARTIN JR, MD, Diagnostic Radiology OPP, AL

Contact Information

VINCENT E MARTIN JR, MD

702 N MAIN ST
OPP, AL 36467-1626

Phone: 334-493-2342
Fax: 334-493-2552
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Body Imaging	2085B0100X
Diagnostic Ultrasound	2085U0001X
Nuclear Radiology	2085N0904X

Indicates primary specialty

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NPI Profile & details for VINCENT E MARTIN JR · (Male)

NPI Number	`1487637088`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	11/29/2005
Last updated	10/19/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	AL License # 00015250 AL Medicaid 051556337 AL Other 51002202 BLUE CROSS BLUE SHIELD AL Other P00240172 RAILROAD MEDICARE
Hospital affiliation(s)	MIZELL MEMORIAL HOSPITAL - (Acute Care) 702 N MAIN ST OPP, AL 36467 SACRED HEART HOSPITAL - (Acute Care) 5151 N 9TH AVE PENSACOLA, FL 32504 SOUTHEAST ALABAMA MEDICAL CENTER - (Acute Care) 1108 ROSS CLARK CIRCLE DOTHAN, AL 36301

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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