JACQUELYN HAIRSTON MARTIN

RIVERDALE, GA
NPI1659434876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN052052)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
Mrs. JACQUELYN HAIRSTON MARTIN C-FNP
107 UPPER RIVERDALE RD SW SUITE B
RIVERDALE, GA 30274-2540
Phone number: 770-692-2800
Mailing Address
Mrs. JACQUELYN HAIRSTON MARTIN C-FNP
2746 DODSON LEE DR
EAST POINT, GA 30344-3960
Phone number: 404-346-1330
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