Provider Demographics
NPI:1205239456
Name:MARTIN, EDITH (CRT)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 MCINTOSH RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-3931
Mailing Address - Country:US
Mailing Address - Phone:706-858-5574
Mailing Address - Fax:
Practice Address - Street 1:6600 PEACHTREE DUNWOODY RD
Practice Address - Street 2:BUILDING 400 SUITE 125
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-6773
Practice Address - Country:US
Practice Address - Phone:866-587-9922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified