| Dr. Stephen Martin LLC. | |
|
1497 Fair Rd Ste 103 Statesboro GA 30458-0823 | |
| (912) 486-1163 | |
| (912) 486-1165 |
| Full Name | Dr. Stephen Martin LLC. |
|---|---|
| Speciality | Family Medicine |
| Location | 1497 Fair Rd Ste 103, Statesboro, Georgia |
| Authorized Official Name and Position | Stephen Martin (CEO) |
| Authorized Official Contact | 9124861163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Stephen Martin LLC. Po Box 164 Brooklet GA 30415-0164 | Dr. Stephen Martin LLC. 1497 Fair Rd Ste 103 Statesboro GA 30458-0823 Ph: (912) 486-1163 |
| NPI Number | 1477440592 |
|---|---|
| Provider Enumeration Date | 06/20/2025 |
| Last Update Date | 12/21/2025 |
| Certification Date | 12/21/2025 |
| Medicare PECOS PAC ID | 9436651502 |
|---|---|
| Medicare Enrollment ID | O20250908001242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477440592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Stephen Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992298616 PECOS PAC ID: 9537495866 Enrollment ID: I20250908001360 |
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