Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 80443 | GA |
N | 111NI0900X | Internist | 80443 | GA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 82851 | GA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60636162 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD60636162 | WA |
NPI | 1700103868 |
---|---|
Provider Name | Dr. Ryan Cameron Martin |
First Address | Atlanta, GA 30342-5005 |
Second Address | Atlanta, GA 30342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 27/08/2019 |