Individual
CATHERINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1506 KLONDIKE RD SW STE 205, CONYERS, GA 30094-5173
(678) 750-4000
(678) 750-4005
Mailing address
3801 WHITNEY PL, DULUTH, GA 30096-3153
(404) 729-2643
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN250059
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003272832A
—
GA
Enumeration date
11/02/2021
Last updated
09/06/2022
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