Individual
HEATHER BROOKE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
1886 CHARLESTON RD, SPENCER, WV 25276-8806
(130) 453-1887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
965
WV
Other
Enumeration date
07/26/2023
Last updated
10/27/2025
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