Individual
APRIL HALL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5080 KAHN DR STE 120, LUMBERTON, NC 28358-2302
(910) 738-5588
Mailing address
5080 KAHN DR STE 120, LUMBERTON, NC 28358-2302
(910) 738-5588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005517
GA
363A00000X
Physician Assistant
Primary
104088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045884369A
—
GA
05
—
045884369B
—
GA
05
—
0765PA
—
SC
01
—
582203199-004
TRICARE
—
01
—
582203199-009
TRICARE
—
01
—
P00714519
RR MEDICARE
GA
Enumeration date
01/16/2007
Last updated
02/22/2021
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