Provider Demographics
NPI:1558430579
Name:RABURN, MARTHA BROWN (FNPC)
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:BROWN
Last Name:RABURN
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1102 E LAMAR ST STE 2
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3781
Mailing Address - Country:US
Mailing Address - Phone:229-514-1444
Mailing Address - Fax:229-514-1422
Practice Address - Street 1:1102 E LAMAR STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709
Practice Address - Country:US
Practice Address - Phone:229-514-1444
Practice Address - Fax:229-514-1422
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN109339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA907531375CMedicare ID - Type UnspecifiedFNPC