Provider Demographics
NPI:1700774510
Name:FOLMAR, EMILY HARTLINE
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:HARTLINE
Last Name:FOLMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3077 MOSS STONE LN
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-6416
Mailing Address - Country:US
Mailing Address - Phone:770-905-5221
Mailing Address - Fax:
Practice Address - Street 1:5150 STILESBORO RD NW STE 210
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-7742
Practice Address - Country:US
Practice Address - Phone:404-273-7478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics