Individual
MRS. DANIELLE PAIGE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2400 BELLEVUE RD., SUITE# 29-B, DUBLIN, GA 31021
(478) 741-2150
(478) 741-2208
Mailing address
165 EMERY HWY., SUITE #100, MACON, GA 31217
(478) 741-2150
(478) 741-2208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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