Individual
DAWN JOHANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
780 E OGLETHORPE HWY, HINESVILLE, GA 31313-2808
(912) 385-0801
Mailing address
206 SAND HILL RD, BROOKLET, GA 30415-6813
(912) 308-8388
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN173525
GA
363LF0000X
Family Nurse Practitioner
Primary
24849
SC
Other
Enumeration date
03/18/2021
Last updated
09/22/2022
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