Individual
STEVE MARSHALL MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
449 N WENDOVER RD STE A, SUITE 101, CHARLOTTE, NC 28211-1064
(704) 365-6730
(704) 365-6731
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 365-6730
(704) 365-6731
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
LL28073
SC
207X00000X
Orthopaedic Surgery Physician
Primary
2010-01328
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159P8
BCBS
NC
05
—
1649356072
—
NC
05
—
5915204
—
NC
Enumeration date
10/27/2006
Last updated
10/25/2020
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