Individual
STEPHANIE NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3240 NORTHEAST EXPY NE STE 100, ATLANTA, GA 30341-4003
(404) 480-9330
Mailing address
175 INWOOD TER, ROSWELL, GA 30075-6865
(770) 842-4893
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
04/22/2022
Last updated
08/20/2025
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