Individual
CHARLES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8400 LEE HIGHWAY, PULASKI, VA 24301
(540) 994-8100
Mailing address
6348 ALUM RIDGE RD NW, RINER, VA 24149-3624
(540) 763-2760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001238417
VA
163WM0705X
Medical-Surgical Registered Nurse
0001238417
VA
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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