Individual
DR. CHARLES E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 HARRODSBURG RD, SUITE B-275, LEXINGTON, KY 40504-3751
(859) 278-2334
(859) 278-0159
Mailing address
1401 HARRODSBURG RD, SUITE B-275, LEXINGTON, KY 40504-3751
(859) 278-2334
(859) 278-0159
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
18605
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AM7030199
—
KY
Enumeration date
11/30/2005
Last updated
07/08/2007
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