Individual
MISS BRENDA JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PP, BA
Contact information
Practice address
2401 BUENA VISTA RD, COLUMBUS, GA 31906-3142
(706) 323-7244
(706) 596-0424
Mailing address
2401 BUENA VISTA RD, COLUMBUS, GA 31906-3142
(706) 323-7244
(706) 596-0424
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
12/13/2013
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