Individual
MS. CHAUNTA DENISE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 OGLETHORPE DR, POOLER, GA 31322-3676
(912) 940-2019
Mailing address
1407 OGLETHORPE DR, POOLER, GA 31322-3676
(912) 940-2019
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
0554212259
GA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
10/19/2022
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