| Elise Danielle Martin, MD | |
|
2383 Pate St N, Snellville, GA 30078-3250 | |
| (770) 972-4845 | |
| Not Available |
| Full Name | Elise Danielle Martin |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2383 Pate St N, Snellville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659864999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | LL52479 (South Carolina) | Secondary |
| 207N00000X | Dermatology | 95840 (Georgia) | Primary |
| Entity Name | Gwinnett Dermatology, Pc D/b/a Georgia Dermatology Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477596203 PECOS PAC ID: 6002804309 Enrollment ID: O20040505000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Danielle Martin, MD 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 455-7882 | Elise Danielle Martin, MD 2383 Pate St N, Snellville, GA 30078-3250 Ph: (770) 972-4845 |
Kirk D Saddler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2383 Pate St, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358 | |
Mrs. Sion Ward Jasmine, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2383 Pate St N, Snellville, GA 30078 Phone: 770-972-4845 | |
Joel S Shavin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2383 Pate St, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358 | |
Jeffrey Thomas Gardner Ii, Dermatology Medicare: Medicare Enrolled Practice Location: 2383 Pate St N, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358 | |
Maria Paz Henkels, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2383 Pate St N, Snellville, GA 30078 Phone: 770-972-4845 | |
Dr. Jessica J. Mercer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2383 Pate St, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358 | |
Jonathan S Weiss, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2383 Pate St, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358 |