Individual
DR. JOSEPH SHANE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 449-2766
Mailing address
856 PINE VALLEY RD, JACKSONVILLE, NC 28546-7920
(252) 864-3310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13468-320
WI
207Q00000X
Family Medicine Physician
1671953
ID
207Q00000X
Family Medicine Physician
Primary
2012-01861
NC
207Q00000X
Family Medicine Physician
24403
NV
207Q00000X
Family Medicine Physician
346136
LA
207Q00000X
Family Medicine Physician
79518
MN
Other
Enumeration date
05/09/2011
Last updated
06/02/2025
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