Individual
DR. SHELLY DAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 388-2381
(304) 388-2640
Mailing address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 388-2381
(304) 388-2640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P0090
TX
2080C0008X
Child Abuse Pediatrics Physician
Primary
29866
WV
Other
Enumeration date
04/04/2006
Last updated
05/09/2022
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