Martin, Ola Jenelle

Martin, Ola Jenelle is an individual health care provider with primary practice located at 3469 Lawrenceville Hwy Suite 103, Tucker GA 30084-5888. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Martin, Ola Jenelle can be contacted via phone (770) 638-1960.

Contact Information

Primary practice address
3469 Lawrenceville Hwy Suite 103 Tucker GA 30084-5888
Phone: (770) 638-1960
Fax: (770) 638-1961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 034660 Georgia

Profile Details

NPI number 1366547002
LBN Legal business name Martin, Ola Jenelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 10th, 2016 - about 10 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 1366547002 NPPES
Georgia MEDICAID 00599915E

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