Individual
MARA RENEE FRANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 BARNETT SHOALS RD STE B, ATHENS, GA 30605-2748
(706) 543-6443
(706) 543-8202
Mailing address
PO BOX 409, WATKINSVILLE, GA 30677-0011
(706) 769-6469
(706) 769-4402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004075
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072415793A
—
GA
05
—
072415793B
—
GA
05
—
072415793C
—
GA
Enumeration date
12/28/2006
Last updated
07/11/2013
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