Individual
DR. MIRNALIS MARTINEZ VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(404) 666-0038
Mailing address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(404) 666-0038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
96939
GA
Other
Enumeration date
04/26/2011
Last updated
08/23/2023
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