Individual
MR. SAMUEL TRAVIS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3000
Mailing address
520 STONEY CREEK AVE, BATON ROUGE, LA 70808-8186
(907) 350-4439
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6565
NC
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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