NPI 1023579190
Matthew Martin
Practice location
- Address
- 1220 Jefferson St, Laurel, MS 39440-4355
- Phone
- (601) 428-0100
- Fax
- (601) 428-0100
- Mailing address
- PO Box 247, Laurel, MS 39441-0247
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1023579190
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Mar 2019
- Record last updated
- 23 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.