Individual
DR. DESTINY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 LAMB CIR STE 250, CHRISTIANSBURG, VA 24073-6345
(540) 639-9071
(540) 639-0976
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101288184
VA
207Q00000X
Family Medicine Physician
D99040
MD
207R00000X
Internal Medicine Physician
D99040
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764815400
—
MD
Enumeration date
03/31/2020
Last updated
02/25/2026
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