Individual
GARY L. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 S CENTER ST, HILDEBRAN, NC 28637-8304
(828) 397-3522
(828) 397-3522
Mailing address
PO BOX 829, HILDEBRAN, NC 28637-0829
(828) 397-3522
(828) 397-3522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101059276
VA
207Q00000X
Family Medicine Physician
Primary
138795
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144NW
BCBS
NC
01
—
5743081
CIGNA
NC
05
—
5906347
—
NC
Enumeration date
06/02/2006
Last updated
04/27/2017
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