Individual
DR. CLYDE DONALD MARTIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101265354
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2017
Last updated
01/04/2024
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