Individual
HUNTER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1931 NICKVILLE RD NW, DEWY ROSE, GA 30634-3106
(706) 371-3480
Mailing address
1931 NICKVILLE RD NW, DEWY ROSE, GA 30634-3106
(706) 371-3480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15
—
GA
Enumeration date
06/13/2021
Last updated
06/13/2021
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