Organization
MARTHA B BOONE M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA B BOONE M.D. (OWNER)
(404) 705-8366
Entity
Organization
Contact information
Practice address
3400 OLD MILTON PARKWAY, SUITE A560, ALPHARETTA, GA 30005
(404) 705-8366
(404) 705-8314
Mailing address
3400 OLD MILTON PARKWAY, SUITE A560, ALPHARETTA, GA 30005
(404) 705-8366
(404) 705-8314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042408
GA
208800000X
Urology Physician
Primary
42408
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042408
LICENSE
—
Enumeration date
08/31/2010
Last updated
02/20/2015
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