Individual
PAULA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
22890 VIRGIL H GOODE HWY, BOONES MILL, VA 24065-4989
(540) 334-5511
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102-201419
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010135893
—
VA
Enumeration date
11/21/2005
Last updated
08/12/2022
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