Individual
TERRI LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16115 SAINT VINCENT WAY, SUITE 300, LITTLE ROCK, AR 72223-3000
(501) 817-3923
(501) 817-3930
Mailing address
16115 SAINT VINCENT WAY, SUITE 300, LITTLE ROCK, AR 72223-3000
(501) 817-3923
(501) 817-3930
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E1302
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131957001
—
AR
Enumeration date
03/20/2007
Last updated
01/05/2017
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