Individual
MARTINA LAETITIA MUSTROPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
DEPARTMENT OF NEUROSURGERY 1365 CLIFTON ROAD, ATLANTA, GA 30322-0001
(404) 993-2808
Mailing address
415 8TH ST NE APT 2, ATLANTA, GA 30309-4218
(404) 993-2808
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
292143
MA
207T00000X
Neurological Surgery Physician
99696
GA
207T00000X
Neurological Surgery Physician
Primary
V9671
TX
Other
Enumeration date
03/27/2017
Last updated
07/14/2025
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