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1649274564
MARTHA LYNNELL MCCORMACK
GRIFFIN, GA
NPI
1649274564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN123048)
Enumeration Date
2005-06-09
Last Update Date
2020-07-13
Business Address
MRS. MARTHA LYNNELL MCCORMACK N.P.
1501 KALAMAZOO DR STE B
GRIFFIN, GA 30224-3998
Phone number: 678-603-1321
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Mailing Address
MRS. MARTHA LYNNELL MCCORMACK N.P.
1501 KALAMAZOO DR STE B
GRIFFIN, GA 30224-3998
Phone number: 678-603-1321
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