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Individual

DR. BEVERLY LYNN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
5604 WENDY BAGWELL PKWY STE 311, HIRAM, GA 30141-7814
(770) 222-5881
(770) 222-5883
Mailing address
5604 WENDY BAGWELL PKWY STE 311, HIRAM, GA 30141-7814
(770) 222-5881
(770) 222-5883

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001404
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00244592
RAILROAD RETIREMENT MEDIC
GA
Enumeration date
02/06/2007
Last updated
09/15/2022
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