Individual
GRAHAM DELANO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
8201 HEALTHCARE LOOP STE 305, CHARLOTTE, NC 28215-7072
(980) 302-3050
(980) 302-3055
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15071
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/29/2024
Last updated
02/12/2025
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