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NPI Code Detail

MEDICARE: MRS. SARA GELSON MARTIN CNNP

MEDICARE:  MRS. SARA GELSON MARTIN  CNNP
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
1363LN0000XNeonatal Nurse PractitionerRN169382 NPGA

General Provider Information

NPI Number : 1245315118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA GELSON MARTIN CNNP
Provider Business Mailing Address
First Line : 965 SOARING WAY
Second Line :
City : MARIETTA
State : SC
Zip : 30062
Country : US
Telephone Number : 770-423-0029
Fax Number :
Provider Business Practice Location Address
First Line : 1762 CLIFTON RD NE STE 103
Second Line : EMORY UNIVERSITY
City : ATLANTA
State : GA
Zip : 30322-4001
Country : US
Telephone Number : 404-686-8136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SARA GELSON MARTIN CNNP” Practice Location

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