| Jenelle Martin, M.d., P.c. | |
|
3469 Lawrenceville Hwy Suite 103 Tucker GA 30084-5888 | |
| (770) 638-1960 | |
| (770) 638-1961 |
| Full Name | Jenelle Martin, M.d., P.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3469 Lawrenceville Hwy, Tucker, Georgia |
| Authorized Official Name and Position | Jenelle Martin (PSYCHIATRIST/PRESIDENT) |
| Authorized Official Contact | 7706381960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenelle Martin, M.d., P.c. Po Box 871133 Stone Mountain GA 30087-0029 Ph: (770) 638-1960 | Jenelle Martin, M.d., P.c. 3469 Lawrenceville Hwy Suite 103 Tucker GA 30084-5888 Ph: (770) 638-1960 |
| NPI Number | 1710239942 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710239942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 034660 (Georgia) | Primary |
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