Individual
ELIZABETH MARTYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
65 CROMWELL CIR, DOUGLAS, GA 31535-7408
(908) 461-4843
Mailing address
65 CROMWELL CIR, DOUGLAS, GA 31535-7408
(908) 461-4843
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN197990
GA
Other
Enumeration date
07/25/2012
Last updated
02/20/2015
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