Individual
MARTINA KOLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MOHAWK ST, STE E, SAVANNAH, GA 31419-1844
(912) 925-0067
(912) 925-2381
Mailing address
900 MOHAWK ST, STE E, SAVANNAH, GA 31419-1844
(912) 925-0067
(912) 925-2381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN240475
GA
363LG0600X
Gerontology Nurse Practitioner
RN240475
GA
Other
Enumeration date
06/22/2016
Last updated
11/01/2016
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