Provider Demographics
NPI:1780295774
Name:HONEYCUTT, MARTHA MYERS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:MYERS
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MARTHA
Other - Middle Name:BRYAN
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3625 BATTLEFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:FT OGLETHORPE
Mailing Address - State:GA
Mailing Address - Zip Code:30742-4001
Mailing Address - Country:US
Mailing Address - Phone:706-866-1839
Mailing Address - Fax:706-866-1845
Practice Address - Street 1:3625 BATTLEFIELD PKWY
Practice Address - Street 2:
Practice Address - City:FT OGLETHORPE
Practice Address - State:GA
Practice Address - Zip Code:30742-4001
Practice Address - Country:US
Practice Address - Phone:706-866-1839
Practice Address - Fax:706-866-1845
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42888183500000X
TNRPH030853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist