Individual
DR. CHARLES C MARTIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 14TH ST, MERIDIAN, MS 39301-4458
(601) 482-9224
(601) 482-9223
Mailing address
PO BOX 649105, DALLAS, TX 75264-9105
(601) 207-7093
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
24993
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
24993
MS
208VP0014X
Interventional Pain Medicine Physician
Primary
24993
MS
Other
Enumeration date
03/26/2015
Last updated
06/30/2025
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