Individual
JACQUELINE MARINA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3121 PANTHERSVILLE RD, DECATUR, GA 30034-3830
(404) 270-8192
(404) 270-8183
Mailing address
3121 PANTHERSVILLE RD, DECATUR, GA 30034-3830
(404) 270-8192
(404) 270-8183
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
50656
GA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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