Individual
DR. PATRICK DAVID MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
39022
NC
2084P0800X
Psychiatry Physician
Primary
39022
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8954126
—
NC
05
—
Q39022
—
SC
Enumeration date
12/13/2005
Last updated
01/31/2012
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