Individual
MANUEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 644-1570
(770) 644-1576
Mailing address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
024757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024757
LICENSE
GA
Enumeration date
04/25/2006
Last updated
11/14/2022
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