Individual
MS. HOLLY R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10931 RAVEN RIDGE RD, STE 101, RALEIGH, NC 27614-6499
(919) 870-6600
(919) 870-1610
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103120
NC
363AM0700X
Medical Physician Assistant
Primary
103120
NC
Other
Enumeration date
06/22/2005
Last updated
05/12/2026
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