Individual
DARRELL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 HOLLOW LN, MT HOLLY, NC 28120-9652
(980) 308-3937
Mailing address
209 HOLLOW LN, MT HOLLY, NC 28120-9652
(980) 308-3937
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
1215
NC
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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