Individual
DR. MARTIN L BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 PROFESSIONAL PARK DR, SUITE 200, MOORESVILLE, NC 28117-5599
(704) 235-6610
(704) 235-6615
Mailing address
134 PROFESSIONAL PARK DR, SUITE 200, MOORESVILLE, NC 28117-5599
(704) 235-6610
(704) 235-6615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2005-01317
NC
Other
Enumeration date
05/04/2006
Last updated
10/29/2020
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