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Provider Information for 1629437348


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LINDSEY MARTIN Np


Sex: Female

NPI: 1629437348
Last Updated: 2016-02-23
Certification Date:

Details

NameValue
NPI1629437348
Enumeration Date2016-02-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1001 JOHNSON FERRY RD
ATLANTA, GA 30342-1605
United States

Phone: | Fax:
 
Primary Practice Address 1001 JOHNSON FERRY RD
ATLANTA, GA 30342-1605
United States

Phone: 404-785-5160 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 363LN0000X - Nurse Practitioner - NeonatalGARN248775