Individual
MIGUEL ANGEL MARTINEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT-P
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 472-2000
Mailing address
536 SKYLARK LN LOT 23, LINWOOD, NC 27299-8919
(704) 431-7226
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P124530
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YPS103167865
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/08/2022
Last updated
03/08/2022
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