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Individual

MARTHA H GARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
125 E TRINITY PL, SUITE 201, DECATUR, GA 30030-3360
(404) 687-8649
(404) 687-8945
Mailing address
125 E TRINITY PL, SUITE 201, DECATUR, GA 30030-3360
(404) 687-8649
(404) 687-8945

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
039347
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000702534
GA
Enumeration date
05/23/2006
Last updated
01/22/2013
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