Provider Demographics
NPI:1427465434
Name:READ, MARTHA (MD)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:READ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1041 BALCH RD
Mailing Address - Street 2:STE 300
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8822
Mailing Address - Country:US
Mailing Address - Phone:256-686-4567
Mailing Address - Fax:256-686-4565
Practice Address - Street 1:2208 DANVILLE RD SW STE A
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601
Practice Address - Country:US
Practice Address - Phone:256-686-4567
Practice Address - Fax:256-686-4565
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL33207207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE869Medicare PIN