Individual
MARTHA MATTHIESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-1015
(404) 727-5074
(404) 727-4069
Mailing address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-1015
(404) 727-5074
(404) 727-4069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN182010
GA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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