Individual
JOSHUA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6095 PINE MOUNTAIN RD NW, SUITE #105, KENNESAW, GA 30152-3329
(678) 217-7529
Mailing address
3655 DEVON CT NW, KENNESAW, GA 30144-5271
(404) 550-7538
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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