Individual
TRENISE ROBINSON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4015
(504) 842-0098
Mailing address
1130 TALBOTTON RD, COLUMBUS, GA 31904-8749
(706) 641-6900
(706) 327-0757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2173
GA
363A00000X
Physician Assistant
Primary
PA.200616.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02354059
—
MS
05
—
2341405
—
LA
Enumeration date
04/20/2011
Last updated
07/22/2016
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