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Contact Information

IRVIN L MARTIN, MD
1800 12TH ST
MERIDIAN, MS39301-4158
 Phone: 601-703-9231
 Fax: 601-703-4352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for IRVIN L MARTIN · (Male)

NPI Number 1447243472
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2005
Last updated 11/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 12862
  • MS Medicaid 00115751
  • Other 200021882 RAIL ROAD MEDICARE
  • AL Other 73073633 BLUE CROSS OF AL
  • AL Other 009504900 MEDICAID OF AL
Hospital affiliation(s)
  • ANDERSON REGIONAL MEDICAL CENTER - (Acute Care)
    2124 14 ST
    MERIDIAN, MS 39301
  • RUSH FOUNDATION HOSPITAL - (Acute Care)
    1314 19TH AVE
    MERIDIAN, MS 39301
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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