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Individual

MS. JANICE LOUISE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS-CCC/SLP

Contact information

Practice address
743 SPRING ST NE, NORTHEAST GA MEDICAL CENTER, GAINESVILLE, GA 30501-3715
(770) 533-8251
(770) 538-3862
Mailing address
743 SPRING ST NE, REGAIN PROGRAM OF NORTHEAST GA MEDICAL CENTER, GAINESVILLE, GA 30501-3715
(770) 533-8251
(770) 538-3862

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003796
GA

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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