Individual
THOMAS KENNETH MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 PEACHTREE STREET, DAVIS FISCHER BUILDING, OFFICE 3245A, ATLANTA, GA 30308
(706) 889-2918
Mailing address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160
(770) 590-4180
(770) 590-4186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
02/10/2019
Last updated
01/03/2022
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