Organization
CHARLES R.MARTIN,M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY PARKER (OFFICE MANAGER)
(910) 938-2220
Entity
Organization
Contact information
Practice address
2 DEWITT STREET, JACKSONVILLE, NC 28540-5649
(910) 938-2220
Mailing address
2 DEWITT ST, JACKSONVILLE, NC 28540-5649
(910) 938-2220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5187
NC
Other
Enumeration date
03/08/2007
Last updated
06/17/2008
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