Individual
MARTHA KATHERINE LENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 757-8200
Mailing address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 757-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008663
GA
Other
Enumeration date
02/15/2018
Last updated
10/01/2018
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