Individual
FREDERICK ONEAL MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 MANGO CT, MCDONOUGH, GA 30253-8384
(817) 707-4529
Mailing address
305 MANGO CT, MCDONOUGH, GA 30253-8384
(817) 707-4529
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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