Individual
MS. KARA M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4204 MURDOCKSVILLE ROAD, WEST END, NC 27376-8871
(910) 255-0055
(910) 255-0060
Mailing address
4204 MURDOCKSVILLE ROAD, WEST END, NC 27376-8871
(910) 255-0055
(910) 255-0060
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
9600629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2225603
MEDICARE PTAN END DATE 2/25/2009
NC
01
—
2225603B
MEDICARE PTAN START DATE 2/26/2009
NC
01
—
54479
BCBS
NC
01
—
660001954
MEDICARE RAILROAD PIN
NC
05
—
8954479
—
NC
05
—
N0062A
—
SC
Enumeration date
06/30/2005
Last updated
06/23/2016
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