Individual
DR. MICHELLE RAY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2550 WINDY HILL RD SE STE 106, MARIETTA, GA 30067-8607
(770) 980-1110
(770) 980-1210
Mailing address
2550 WINDY HILL RD SE #106, MARIETTA, GA 30067
(770) 980-1110
(770) 980-1210
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
052360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040748747D
—
GA
Enumeration date
07/21/2006
Last updated
04/13/2022
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