Individual
DR. NICOLLE VENETTA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 WESTVIEW DR SW, NCPC 339, ATLANTA, GA 30310-1458
(404) 752-1852
Mailing address
4170 SWEETWATER FLS, ELLENWOOD, GA 30294-1559
(678) 948-5288
(470) 735-0472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
62555
GA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
62555
GA
Other
Enumeration date
05/01/2008
Last updated
04/12/2023
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