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Individual

MR. PETER W MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2231
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024185818
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024185818
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
11/21/2022
Last updated
09/05/2025
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