Most Relevant Information
Provider Data
| NPI Number: | 1003363201 |
| Provider Name: | SHELLEY CHARMAINE MARTIN CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-086060 |
Most Important Dates
| Enumeration Date: | 09/06/2016 |
| Last Updated: | 12/12/2023 |
Provider Practice Location
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE
GA
305013861
Practice Location Phone/Fax
| Phone: | 7705369864 |
| Fax: | 7702975025 |
Provider Mailing Location
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE
GA
305013861
Provider Mailing Phone/Fax
| Phone: | 7705369864 |
| Fax: | 7702975025 |