Individual
TARA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 JOHNSON FERRY RD STE 910, SANDY SPRINGS, GA 30342-4768
(404) 303-3157
Mailing address
980 JOHNSON FERRY RD STE 910, SANDY SPRINGS, GA 30342-4768
(404) 303-3157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10653
GA
Other
Enumeration date
05/05/2020
Last updated
06/16/2026
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