Individual
MARTINA DOCKERY MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 S MAIN ST, RAEFORD, NC 28376-3222
(910) 609-5800
(910) 875-0309
Mailing address
405 S MAIN ST, RAEFORD, NC 28376-3222
(910) 609-5800
(910) 875-0309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8901239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891261T
—
NC
Enumeration date
06/09/2005
Last updated
12/31/2013
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