Individual
MS. PAMELA DENISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1920 JOHN WESLEY AVE, COLLEGE PARK, GA 30337
(404) 765-4149
Mailing address
99 JESSE HILL JR DRIVE SE, ROOM 402, ATLANTA, GA 30303
(404) 730-1202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P029723
GA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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