Individual
DR. SUSAN MICHELLE MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
15399 MERRY CAT LANE, STE 18, BELLE HAVEN, VA 23306
(757) 442-3444
(757) 442-4913
Mailing address
PO BOX 641, EXMORE, VA 23350
(757) 442-3444
(757) 442-4913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000619
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059603
BCBS
VA
Enumeration date
06/14/2006
Last updated
07/08/2007
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