Individual
CHARITY A. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7811 N POINT BLVD, WINSTON SALEM, NC 27106-3209
(336) 759-0700
(336) 759-2226
Mailing address
7811 N POINT BLVD, WINSTON SALEM, NC 27106-3209
(336) 759-0700
(336) 759-2226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103340
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101909
UNITED HEALTHCARE
NC
01
—
B4065
MEDCOST
NC
Enumeration date
12/21/2005
Last updated
12/31/2007
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