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Individual

MICHELLE STEPHANY MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
110 S MAIN ST, BOILING SPRINGS, NC 28017-9797
(714) 381-4133
Mailing address
102 W 1ST AVE STE C, LEXINGTON, NC 27292-3695
(704) 237-4240

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10442
NC
363AM0700X
Medical Physician Assistant
Primary
0010-10442
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010-10442
NC MEDICAL BOARD
NC
Enumeration date
08/09/2019
Last updated
02/03/2026
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