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Individual

DR. EDWARD MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
517 S SHARON AMITY RD, CHARLOTTE, NC 28211-2975
(704) 384-8800
(704) 384-8819
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8800
(704) 384-8819

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16419
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8954158
NC
05
N16419
SC
Enumeration date
09/21/2005
Last updated
02/18/2013
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