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Individual

DR. SHELDA A MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4522 MACCORKLE AVE SE, SUITE 3, CHARLESTON, WV 25304-1840
(304) 720-7305
Mailing address
3200 MACCORKLE AVENUE SE, CAMC OUTPATIENT CLINICS, CHARLESTON, WV 25304
(304) 388-5590
(304) 388-8238

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19361
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000115000
WV
Enumeration date
09/20/2006
Last updated
02/20/2017
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