Individual
ANDREW NOAH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 MASSIE RD, CHARLOTTESVILLE, VA 22903-1767
(434) 982-5100
Mailing address
115 FONTANELLE DR, MOORESVILLE, NC 28115-8311
(704) 773-5748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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