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Organization
DEBORAH A MARTIN, MD, FACS
Active
Organization
DEBORAH A MARTIN, MD, FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH A MARTIN (OWNER)
(770) 844-2144
Entity
Organization
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR, SUITE 340, CUMMING, GA 30041-7668
(770) 844-2144
(770) 844-2026
Mailing address
1400 NORTHSIDE FORSYTH DR, SUITE 340, CUMMING, GA 30041-7668
(770) 844-2144
(770) 844-2026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000405127C
—
GA
Enumeration date
10/25/2016
Last updated
05/12/2020
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