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Individual

JULIE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
680 OYSTER POINT RD, NEWPORT NEWS, VA 23606-4570
(757) 668-4851
Mailing address
680 OYSTER POINT RD, NEWPORT NEWS, VA 23606-4570
(577) 668-4851

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005403
VA
363AM0700X
Medical Physician Assistant
0010-05783
NC

Other

Enumeration date
06/24/2015
Last updated
06/22/2023
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