Individual
MARTIN JANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3921 SUNSET RIDGE RD STE 101, RALEIGH, NC 27607-6677
(919) 782-7576
(919) 782-7573
Mailing address
PO BOX 10750, RALEIGH, NC 27605-0750
(919) 782-7576
(919) 782-7573
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9900551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912794
—
NC
Enumeration date
08/23/2006
Last updated
12/11/2015
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