Individual
ASHLEY ELAINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
6635 LAKE DR, MORROW, GA 30260-2354
(770) 968-1323
(770) 968-4556
Mailing address
6635 LAKE DR, MORROW, GA 30260-2354
(770) 968-1323
(770) 968-4556
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN147969
GA
Other
Enumeration date
12/28/2009
Last updated
07/30/2013
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