Organization
WINSHIP CLINIC,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH M MARTIN M.D. (PHYSICIAN/OWNER)
(706) 256-0700
Entity
Organization
Contact information
Practice address
2401 BROOKSTONE CENTRE PKWY, BLDG. 200, COLUMBUS, GA 31904-4501
(706) 256-0700
(866) 390-9155
Mailing address
PO BOX 102748, ATLANTA, GA 30368-2748
(706) 256-0700
(866) 390-9155
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
040477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00672218C
—
GA
Enumeration date
05/17/2007
Last updated
12/17/2012
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