Individual
GAVIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN ROAD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
5213 S. ALSTON AVENUE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
98-00744
NC
207L00000X
Anesthesiology Physician
Primary
9800744
NC
207P00000X
Emergency Medicine Physician
98-00744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891143Q
—
NC
Enumeration date
12/19/2006
Last updated
09/07/2010
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