Individual
MRS. MARY MARGARET MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
401 W DECATUR ST, MADISON, NC 27025-1913
(336) 548-9618
(336) 548-4877
Mailing address
401 W DECATUR ST, MADISON, NC 27025-1913
(336) 548-9618
(336) 548-4877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201843
NC
363LF0000X
Family Nurse Practitioner
Primary
201843
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023114089
NC BLUE CROSS
NC
01
—
2593171A
MEDICARE
NC
Enumeration date
09/16/2006
Last updated
04/13/2026
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