Individual
LAURA PATRICIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 292-2640
(770) 292-2195
Mailing address
4880 WESTGATE DR, CUMMING, GA 30040-9447
(770) 355-9379
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN197238
GA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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