Individual
GAYNELL GALT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
303 MEDICAL DR STE 401, LAGRANGE, GA 30240-4145
(706) 803-7940
(706) 803-8802
Mailing address
303 MEDICAL DR STE 401, LAGRANGE, GA 30240-4145
(706) 803-7940
(706) 803-8802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902518
MS
363L00000X
Nurse Practitioner
Primary
RN243256
GA
Other
Enumeration date
02/10/2018
Last updated
03/19/2024
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