Individual
COURTNEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 840-4038
Mailing address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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