Jenelle Martin, M.d., P.c.

NPI #1710239942 in Tucker, Georgia

Provider Information

NPI Number: 1710239942
Entity Type: Organization
Organization Name: Jenelle Martin, M.d., P.c.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 11, 2012
Last Updated: Oct 11, 2012

Practice Location

Address: 3469 LAWRENCEVILLE HWY
Address 2: SUITE 103
City: Tucker
State: Georgia
ZIP Code: 30084-5888
Phone: (770) 638-1960

Authorized Official

Name: DR. JENELLE MARTIN, M.D.
Title: PSYCHIATRIST/PRESIDENT
Phone: (770) 638-1960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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