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Individual

CARTER MARTENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2104 RANDOLPH RD, CHARLOTTE, NC 28207-1522
(704) 377-3900
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 377-3900

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
0010-07607
NC
363A00000X
Physician Assistant
Primary
0010-07607
NC

Other

Enumeration date
09/28/2017
Last updated
10/26/2020
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