Provider Demographics
NPI:1952584112
Name:MARTINEZ-BARNES, MARIA (NP)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:MARTINEZ-BARNES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 VILLAGE SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3380
Mailing Address - Country:US
Mailing Address - Phone:404-298-8992
Mailing Address - Fax:404-298-7658
Practice Address - Street 1:770 VILLAGE SQUARE DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3380
Practice Address - Country:US
Practice Address - Phone:404-298-8992
Practice Address - Fax:404-298-7658
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN125306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily