Martin, Deborah A

Martin, Deborah A is an sole proprietor health care provider with primary practice located at 1400 Northside Forsyth Dr Ste 340 , Cumming GA 30041-6017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Martin, Deborah A can be contacted via phone (770) 844-2144.

Contact Information

Primary practice address
1400 Northside Forsyth Dr Ste 340 Cumming GA 30041-6017
Fax: (770) 844-2026
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 032246 Georgia

Profile Details

NPI number 1558326413
LBN Legal business name Martin, Deborah A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated May 12th, 2020 - about 6 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 1558326413 NPPES
Georgia Other 11399 FIRST HEALTH COVENTRY
Georgia MEDICAID 000405127E FIRST HEALTH COVENTRY
Georgia MEDICAID 000405127A FIRST HEALTH COVENTRY
Georgia Other 133861084444 FIRST HEALTH COVENTRY
Georgia Other 032246 FIRST HEALTH COVENTRY
Georgia Other PR27874000001 FIRST HEALTH COVENTRY

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