Individual
MS. KATHLEEN SUSANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
EMORY UNIVERSITY HOSPITAL, 1365 CLIFTON ROAD NE, ATLANTA, GA 30322-0001
(404) 712-1855
(404) 712-0116
Mailing address
4301 STRATFORD CMNS, DECATUR, GA 30033-7444
(404) 712-1855
(404) 712-0116
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN149600
GA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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