Individual
HAILEE ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2540 NC HIGHWAY 210 E, HAMPSTEAD, NC 28443-8988
(910) 329-9916
(910) 329-9919
Mailing address
PO BOX 2400, SURF CITY, NC 28445-0027
(910) 329-9916
(910) 329-9919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0010-12597
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
09/14/2022
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