Martin, Judy

Martin, Judy is an individual health care provider with primary practice located at 1105 Burleyson Rd , Dalton GA 30720-3017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Martin, Judy can be contacted via phone (706) 278-4640.

Contact Information

Primary practice address
1105 Burleyson Rd Dalton GA 30720-3017
Phone: (706) 278-4640
Fax: (706) 275-6599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R074693 Georgia

Profile Details

NPI number 1861538068
LBN Legal business name Martin, Judy
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 11th, 2011 - about 13 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 1861538068 NPPES
Georgia MEDICAID 00417414B

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