Mccormack, Martha Lynnell

Mccormack, Martha Lynnell is an individual health care provider with primary practice located at 1501 Kalamazoo Dr Ste B , Griffin GA 30224-3998. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mccormack, Martha Lynnell can be contacted via phone (678) 603-1321.

Contact Information

Primary practice address
1501 Kalamazoo Dr Ste B Griffin GA 30224-3998
Phone: (678) 603-1321
Fax: (678) 603-2750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN123048 Georgia

Profile Details

NPI number 1649274564
LBN Legal business name Mccormack, Martha Lynnell
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 13th, 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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