Individual
WILLIAM JOSEPH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
505 SAMARITANS RIDGE CT, ELKIN, NC 28621-2457
(336) 526-1181
(336) 526-1807
Mailing address
PO BOX 5368, HIGH POINT, NC 27262-5368
(800) 800-1617
(717) 653-6978
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9400297
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373U
BLUE SHIELD
NC
05
—
8954529
—
NC
Enumeration date
10/03/2006
Last updated
03/07/2023
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