Individual
JOHN WESLEY MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 746-2500
Mailing address
156 LAMBERT DR APT 9, HURRICANE, WV 25526-1188
(304) 881-2843
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119567
WV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2022
Last updated
06/20/2024
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