Crenshaw, Martha H
Crenshaw, Martha H is an individual health care provider with primary practice located at 1805 Parke Plaza Cir Suite 101, Stone Mountain GA 30087-3498. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crenshaw, Martha H can be contacted via phone (770) 469-7000.Contact Information
Primary practice address
1805 Parke Plaza Cir Suite 101
Stone Mountain GA 30087-3498
Phone: (770) 469-7000
Fax: (770) 879-0436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 023580 | Georgia |
Profile Details
| NPI number | 1255325536 |
|---|---|
| LBN Legal business name | Crenshaw, Martha H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Feb 17th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255325536 | NPPES |
| Georgia | MEDICAID | 00247024A1 | |
| Georgia | Other | 0528626 | |
| Georgia | Other | 080027160 | |
| Georgia | Other | 151302 |
Popular Providers
-
Tesfaye, Tassew
4958 Memorial Dr , Stone Mountain GA 30083-4148 -
Alexander, Elmore Dean
374 Osprey Point , Stone Mountain GA 30087-6163 -
Desai, Rohit Manubhai
1183 S Hairston Rd Suite A, Stone Mountain GA 30088-2796 -
Williamson, Tuwanda C
1825 Rockbridge Rd Ste 15B , Stone Mountain GA 30087-3306 -
Bowden, Garry Blake
2300 W Park Place Blvd 122, Stone Mountain GA 30087-6713 -
Corkran, Edward A
5462 Memorial Dr Suite 202, Stone Mountain GA 30083-3239 -
Schwartz, Terry
809 S Main Street , Stone Mountain GA 30083-3620 -
Johnson, Samuel
5300 Memorial Dr Suite 112, Stone Mountain GA 30083-3148