Provider Demographics
NPI:1992298616
Name:MARTIN, STEPHEN R (DO, MPA, MSHSA)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:R
Last Name:MARTIN
Suffix:
Gender:M
Credentials:DO, MPA, MSHSA
Other - Prefix:
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Mailing Address - Street 1:1499 FAIR RD.
Mailing Address - Street 2:DEPARTMENT OF WOUND CARE AND HYPERBARIC MEDICINE
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458
Mailing Address - Country:US
Mailing Address - Phone:912-486-1163
Mailing Address - Fax:970-660-0912
Practice Address - Street 1:1499 FAIR RD.
Practice Address - Street 2:DEPARTMENT OF WOUND CARE AND HYPERBARIC MEDICINE
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458
Practice Address - Country:US
Practice Address - Phone:912-486-1163
Practice Address - Fax:970-660-0912
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.015513207Q00000X
PAOT018473208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine