Individual
CATHERINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3827 JIMMY LEE SMITH PKWY, HIRAM, GA 30141
(770) 222-8900
(770) 222-2757
Mailing address
3827 JIMMY LEE SMITH PKWY, HIRAM, GA 30141
(770) 222-8900
(770) 222-2757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054826
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602583772F
—
GA
01
—
P00275571
MEDICARE RAILROAD PROV #
GA
Enumeration date
04/28/2006
Last updated
03/26/2012
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