Individual
DR. LOUISA D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CRNA
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 722-9011
Mailing address
1824 WALTON WAY, AUGUSTA, GA 30904-3804
(706) 737-9250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN184683
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN184683
GA
Other
Enumeration date
06/11/2015
Last updated
08/18/2022
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