Individual
ADRIAN THERON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 651-8294
(336) 681-8100
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 651-8294
(336) 651-8100
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2023-00800
NC
390200000X
Student in an Organized Health Care Education/Training Program
LP04812
RI
Other
Enumeration date
11/16/2019
Last updated
02/21/2024
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