Individual
MRS. SHERRY S MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Mailing address
6025 STATE ROUTE 772, CHILLICOTHE, OH 45601-8346
(740) 663-4961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1028189
NCCPA
—
Enumeration date
09/06/2006
Last updated
07/08/2007
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