Organization
NICHOLETTE MARTIN LLC
Active
Other names
Nicholette Martin-Davis, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLETTE M MARTIN MD (MANAGING PARTNER)
(301) 860-0305
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD, SUITE B322, BOWIE, MD 20716-3104
(301) 860-0305
(301) 806-0307
Mailing address
PO BOX 4322, CROFTON, MD 21114-4322
(301) 860-0305
(301) 860-0307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0050415
MD
Other
Enumeration date
06/30/2006
Last updated
03/18/2014
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