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Individual

DR. CAROL ANN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9901651
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101387600
DEPT OF LABOR WORKERS COM
01
1327G
BCBS NC
NC
01
181507
VALUE OPTIONS
NC
05
891327G
NC
Enumeration date
11/22/2005
Last updated
05/05/2008
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