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Individual

HELEN S MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4213 WINDSOR CT, HICKORY, NC 28602-8985
(954) 592-1740
Mailing address
2797 NC 55 HWY, CARY, NC 27519-6206
(866) 389-2727
(401) 652-9787

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04455
NC
363AM0700X
Medical Physician Assistant
0913
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-3555819
MEDICARE
NC
Enumeration date
09/20/2006
Last updated
10/31/2013
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