Provider Demographics
NPI:1528247525
Name:MARTIN, JULIE SEALE (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:SEALE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 161435
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30321-1435
Mailing Address - Country:US
Mailing Address - Phone:706-369-5440
Mailing Address - Fax:706-369-5490
Practice Address - Street 1:1500 OGLETHORPE AVE
Practice Address - Street 2:STE 600CD
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2179
Practice Address - Country:US
Practice Address - Phone:706-559-4171
Practice Address - Fax:706-559-4177
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2015-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA069686208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics