Individual
JAMES T MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 WOODCREST DR, BECKLEY, WV 25801-3633
(304) 250-0272
(304) 250-0275
Mailing address
201 WOODCREST DR, BECKLEY, WV 25801-3633
(304) 250-0272
(304) 250-0275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12395
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052272000
—
WV
01
—
205835
CARELINK
—
01
—
288990
UNITEDHEALTHCARE
—
05
—
55853
—
WV
05
—
A12395
—
WV
01
—
E52170
HEALTH NET
—
Enumeration date
10/02/2006
Last updated
07/09/2007
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