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NPI Code Detail

MEDICARE: DR. RHONDA LATRICE MARTIN PHARM.D.

MEDICARE: DR. RHONDA LATRICE MARTIN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist021209GA

General Provider Information

NPI Number : 1730188368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RHONDA LATRICE MARTIN PHARM.D.
Provider Business Mailing Address
First Line : 11025 WITTENRIDGE DR
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-3409
Country : US
Telephone Number : 404-932-0029
Fax Number :
Provider Business Practice Location Address
First Line : 303 PARKWAY DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1212
Country : US
Telephone Number : 404-265-6582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/08/2007

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