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Martha Land, BCCC
NPI 1801147194 · on the registry since 2012 · sole proprietor
Practice
- Address
- 562 Stratford Grn
Avondale Estates, GA 30002 - Phone
- (770) 841-9539
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia