Individual
KATHLEEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
36 EAGLE ROW, ATLANTA, GA 30322-0001
(404) 727-7451
Mailing address
36 EAGLE ROW, ATLANTA, GA 30322-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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