Individual
KARLEY GANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-5022
(404) 531-8539
Mailing address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-5022
(404) 531-8539
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003987
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
04/06/2022
Last updated
04/06/2022
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