Individual
MIRIAM DALTON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HOSPITAL DR, GALAX, VA 24333-2227
(276) 236-8181
(540) 236-1715
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101235041
VA
207P00000X
Emergency Medicine Physician
35C.003230
OH
207P00000X
Emergency Medicine Physician
D40898
MD
208D00000X
General Practice Physician
D0040898
MD
Other
Enumeration date
07/17/2006
Last updated
11/13/2025
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