Individual
DR. VALENCIA P MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
517 HIGHWAY 82 W, GREENWOOD, MS 38930-5030
(662) 455-6767
(662) 455-1774
Mailing address
PO BOX 1179, GREENWOOD, MS 38935-1179
(662) 455-6767
(662) 455-1774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10298
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016353
—
MS
01
—
P00238282
RAILROAD MEDICARE NUMBER
MS
Enumeration date
09/27/2006
Last updated
11/06/2012
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