Individual
MS. ASHLEY MARIA PAYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110004381
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275961336
OPTIMA
VA
05
—
1275961336
—
VA
Enumeration date
10/28/2013
Last updated
10/21/2014
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