Individual
DR. JEANNE M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 OGLETHORPE AVE, STE. 2500, ATHENS, GA 30606
(706) 548-7909
(706) 548-7973
Mailing address
2727 PACES FERRY ROAD, SUITE 1-1100 (ATTENTION DENISE), ATLANTA, GA 30339
(470) 271-3421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
060405
GA
208000000X
Pediatrics Physician
Primary
060405
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494634830A
—
GA
Enumeration date
03/08/2007
Last updated
06/28/2018
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