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Organization

JEFFREY H MARTIN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY H MARTIN MD PA (PRESIDENT)
(828) 835-3900
Entity
Organization

Contact information

Practice address
75 MEDICAL PARK LN, #A, MURPHY, NC 28906-6667
(828) 835-3900
(828) 835-3006
Mailing address
75 MEDICAL PARK LN, #A, MURPHY, NC 28906-6667
(828) 835-3900
(828) 835-3006

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140R1
BLUE CROSS BLUE SHIELD
NC
01
1901307
UNITED HEALTH CARE
NC
01
2043049
NC MEDICARE INDIVIDUAL PTAN
NC
01
2347666
NC MEDICARE GROUP PTAN
NC
05
5902636
NC
Enumeration date
11/13/2007
Last updated
04/25/2013
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