Individual
TAMIKA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 SOUTHLAKE PLAZA DR, MORROW, GA 30260-1756
(404) 436-1876
(888) 720-2672
Mailing address
1404 SOUTHLAKE PLAZA DR, MORROW, GA 30260-1756
(404) 436-1876
(888) 720-2672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN221693
GA
Other
Enumeration date
03/14/2017
Last updated
03/06/2025
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