Individual
MARLY N. DOWS-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106-6828
(770) 944-1100
(770) 944-6469
Mailing address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106-6828
(770) 944-1100
(770) 944-6469
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
071956
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003147042A
—
GA
05
—
003147042B
—
GA
05
—
003147042C
—
GA
Enumeration date
06/10/2009
Last updated
07/31/2014
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