Individual
LILLIAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 STALLINGS ST. BOX 213, COVINGTON, GA 30015
(770) 377-0340
Mailing address
2131 STALLINGS ST. BOX 213, COVINGTON, GA 30015
(770) 377-0340
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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