Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMITA MARTIN
Active Sole ProprietorJAMITA MARTIN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in ACWORTH, Georgia. NPI 1366807778 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · ACWORTH, GA
Registration Details
- NPI Number
- 1366807778
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2015 (10.666917780539 yrs)
- Last Updated
- Dec 30, 2015
- License
-
LC20150000857 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6468 HWY 92SUITE 140ACWORTH, GA, 301020005Browse GA providers · Browse ZIP 30102
- Phone
- 7706349994
- Fax
- 8554136890
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.