Baxter, Martin Mandela
Baxter, Martin Mandela is an individual health care provider with primary practice located at 2084 Headland Dr , East Point GA 30344-2135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Baxter, Martin Mandela can be contacted via phone (404) 965-5691.Contact Information
Primary practice address
2084 Headland Dr
East Point GA 30344-2135
Phone: (404) 965-5691
Fax: (404) 698-1478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 98019 | Georgia |
Profile Details
| NPI number | 1609450485 |
|---|---|
| LBN Legal business name | Baxter, Martin Mandela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2021 |
| Last updated | May 6th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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