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Organization
JENELLE MARTIN, M.D., P.C.
Active
Organization
JENELLE MARTIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENELLE MARTIN M.D. (PSYCHIATRIST/PRESIDENT)
(770) 638-1960
Entity
Organization
Contact information
Practice address
3469 LAWRENCEVILLE HWY, SUITE 103, TUCKER, GA 30084-5888
(770) 638-1960
(770) 638-1961
Mailing address
PO BOX 871133, STONE MOUNTAIN, GA 30087-0029
(770) 638-1960
(770) 638-1961
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
034660
GA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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