Martin, Carol D

Martin, Carol D is an individual health care provider with primary practice located at 1265 Highway 54 W Suite 409, Fayetteville GA 30214-4548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Carol D can be contacted via phone (678) 817-6505.

Contact Information

Primary practice address
1265 Highway 54 W Suite 409 Fayetteville GA 30214-4548
Phone: (678) 817-6505
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN072776 Georgia

Profile Details

NPI number 1184868796
LBN Legal business name Martin, Carol D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2009
Last updated Apr 27th, 2009 - about 16 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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