Individual
JOSE MARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1790 MULKEY RD STE 1314, AUSTELL, GA 30106-1122
(678) 401-3033
Mailing address
1790 MULKEY RD STE 1314, AUSTELL, GA 30106-1122
(678) 401-3033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7366
GA
Other
Enumeration date
09/02/2014
Last updated
01/19/2023
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