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Individual

TREVA ANN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
619 19TH ST S # P915, BIRMINGHAM, AL 35249-1932
(205) 934-3411
Mailing address
3216 MOCKINGBIRD LN, HOOVER, AL 35226-2721
(770) 864-0445

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2152
AL

Other

Enumeration date
01/31/2023
Last updated
03/14/2023
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