Individual
AUTUMN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
501 S MAIN ST STE 201, ALPHARETTA, GA 30009-1975
(470) 300-8723
Mailing address
1867 CREAT TRL SE, SMYRNA, GA 30080-4566
(770) 316-8738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215533
GA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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