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General NPI Number Information
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NPI Number | 1447477609
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Entity Type | Organization
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Legal Business Name | MARTHA J. LITTLE, M.D., P.C.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 296 S MAIN ST SUITE 200
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City | ALPHARETTA
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State | GA
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Zip | 30004-1973
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Country | US
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Telephone | 770-772-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 296 S MAIN ST SUITE 200
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City | ALPHARETTA
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State | GA
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Zip | 30004-1973
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Country | US
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Telephone | 770-772-0909
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. MARTHA JANE LITTLE
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Credential | M.D.
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Telephone | 770-772-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 032234
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License Number State | GA
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