Franklin, Mara Renee

Franklin, Mara Renee is an individual health care provider with primary practice located at 1450 Barnett Shoals Rd Ste B , Athens GA 30605-2748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Franklin, Mara Renee can be contacted via phone (706) 543-6443.

Contact Information

Primary practice address
1450 Barnett Shoals Rd Ste B Athens GA 30605-2748
Fax: (706) 543-8202
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004075 Georgia

Profile Details

NPI number 1124184742
LBN Legal business name Franklin, Mara Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 11th, 2013 - about 11 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1124184742 NPPES
Georgia MEDICAID 072415793C
Georgia MEDICAID 072415793B
Georgia MEDICAID 072415793A

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