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Individual

TATIANA ALEXANDRA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
451 NORTHOLT PKWY, SUWANEE, GA 30024-4362
(648) 680-4290
Mailing address
821 HILLSIDE DR, GAINESVILLE, GA 30501-3116
(404) 307-4824

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9776
GA

Other

Enumeration date
07/01/2020
Last updated
06/25/2022
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