Individual
DR. JORGE MARTIN PAULINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-5514
(704) 384-5992
Mailing address
10111 WHITEBURN CT, CHARLOTTE, NC 28278-6638
(704) 527-5737
(704) 900-2130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200201144
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
200201144
NC
208M00000X
Hospitalist Physician
Primary
200201144
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D0242865
CLIA
NC
01
—
802471
PARTNERS MEDICARE
NC
05
—
8913256
—
NC
Enumeration date
09/20/2006
Last updated
02/05/2025
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