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Contact Information

ELISE D MARTIN, MD
2383 PATE ST N
SNELLVILLE, GA30078-3250
 Phone: 770-972-4845
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ELISE D MARTIN · (Female)

NPI Number 1659864999
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2018
Last updated 11/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 95840
  • SC License # LL52479
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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