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Individual

MRS. DONNA BAGGETT MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2142 W BROAD ST, BLDG 100, STE 200, ATHENS, GA 30606-3506
(706) 548-6881
(706) 546-0821
Mailing address
2142 W BROAD ST, BLDG 100, STE 200, ATHENS, GA 30606-3506
(706) 548-6881
(706) 546-0821

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN105892
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003105864A
GA
Enumeration date
12/03/2008
Last updated
05/10/2012
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