Individual
MARTINA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2636 MLK JR DR SW STE 22, ATLANTA, GA 30311-1635
(678) 705-3828
(678) 705-3828
Mailing address
6923 WILLIAM RD, AUSTELL, GA 30168-6205
(470) 767-7437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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