Individual
ANTHONY W. MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE, STE 400, CHARLOTTE, NC 28207-1248
(704) 304-7000
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011-01186
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2011-01186
NC
207RS0010X
Sports Medicine (Internal Medicine) Physician
2011-01186
NC
208D00000X
General Practice Physician
2011-01186
NC
Other
Enumeration date
06/16/2008
Last updated
07/15/2024
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