Individual
SHANTRIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 PARKLAKE DR NE, STE 350, ATLANTA, GA 30345-2896
(770) 621-0469
(770) 621-0466
Mailing address
2302 PARKLAKE DR NE, STE 350, ATLANTA, GA 30345-2896
(770) 621-0469
(770) 621-0466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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