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1184868796
CAROL D MARTIN
FAYETTEVILLE, GA
NPI
1184868796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN072776)
Enumeration Date
2009-04-27
Last Update Date
2009-04-27
Business Address
-- CAROL D MARTIN NP
1265 HIGHWAY 54 W SUITE 409
FAYETTEVILLE, GA 30214-4548
Phone number: 678-817-6505
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Mailing Address
-- CAROL D MARTIN NP
95 COLLIER RD NW SUITE 4075
ATLANTA, GA 30309-1796
Phone number: 404-603-3543
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