NPI 1194303420
Martha Jane Willis
Practice location
- Address
- 999 Whitlock Ave SW STE 8, Marietta, GA 30064-1995
- Phone
- (770) 422-6644
- Mailing address
- 309 Peacock Dr NW, Marietta, GA 30064-1815
Registered specialties (2)
Audiologist-Hearing Aid Fitter
Primary
Hearing Instrument Specialist
Registry record
- NPI
- 1194303420
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Mar 2021
- Record last updated
- 30 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.