Individual
DR. PAUL GRAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 KIMEL PARK DR, SUITE 100, WINSTON SALEM, NC 27103-6983
(336) 768-6347
(336) 760-9393
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0000-21823
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8954267
—
NC
01
—
P00276057
RAILROAD MEDICARE
NC
Enumeration date
07/14/2006
Last updated
03/04/2011
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