Individual
TINA PAGE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
945 N 5TH ST, ALBEMARLE, NC 28001-3417
(980) 323-7790
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5001015
NC
Other
Enumeration date
03/01/2006
Last updated
07/15/2024
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