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Individual
MRS. LIZBETH MARTIN
Active
Individual
MRS. LIZBETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2216
GA
363A00000X
Physician Assistant
Primary
PA9106466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120311A
—
GA
Enumeration date
10/25/2011
Last updated
07/09/2021
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