Individual
L ELLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
20 GLENLAKE PKWY, ATLANTA, GA 30328
(770) 677-6049
(770) 677-7331
Mailing address
20 GLENLAKE PKWY, ATLANTA, GA 30328
(770) 677-6049
(770) 677-7331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
RN041837
GA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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