Individual
JACQUELINE MARIE MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
424 DECATUR STREET, ATLANTA, GA 30312
(404) 880-3600
(404) 880-3604
Mailing address
424 DECATUR STREET, ATLANTA, GA 30312
(404) 880-3600
(404) 880-3604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN129013
GA
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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