Individual
LINDA K MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-0000
(770) 277-3056
(855) 204-5244
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN046414
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000689356C
—
GA
05
—
00689356C
—
GA
Enumeration date
06/29/2006
Last updated
04/04/2014
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