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NPI Code Detail

MEDICARE: BRITTANY MASHAWN MARTIN LMSW

MEDICARE:   BRITTANY MASHAWN MARTIN  LMSW
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
1104100000XSocial WorkerMSW010168GA

General Provider Information

NPI Number : 1760999411
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY MASHAWN MARTIN LMSW
Provider Business Mailing Address
First Line : 3911 MARY ELIZA TRCE NW STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1088
Country : US
Telephone Number : 678-631-9907
Fax Number :
Provider Business Practice Location Address
First Line : 3911 MARY ELIZA TRCE NW STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1088
Country : US
Telephone Number : 678-631-9907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2018
Last Update Date : 03/21/2022

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Directions to “ BRITTANY MASHAWN MARTIN LMSW” Practice Location

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