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Individual

MARYJANE GRAY MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
2000 DAN PROCTOR DR, SAINT MARYS, GA 31558-3810
(912) 567-6200
Mailing address
6605 ABERCORN ST, SUITE 108, SAVANNAH, GA 31405-5815
(912) 354-5357
(912) 354-2479

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005680
GA

Other

Enumeration date
09/29/2009
Last updated
10/06/2009
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