Individual
ELECTRA C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 330-2000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101225625
VA
207P00000X
Emergency Medicine Physician
218131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005850657
—
VA
05
—
005850665
—
VA
05
—
005855799
—
VA
05
—
005884454
—
VA
Enumeration date
07/17/2006
Last updated
08/12/2022
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