Individual
JULIE ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD.208214
LA
207N00000X
Dermatology Physician
Primary
TP422
KY
208600000X
Surgery Physician
N0249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04909242
—
MS
05
—
2402048
—
LA
Enumeration date
08/05/2007
Last updated
09/27/2024
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