Individual
DR. THOMAS CHARLES MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 487-7349
Mailing address
118 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 431-5168
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
200101092
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26481
WV
Other
Enumeration date
08/09/2005
Last updated
04/25/2018
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