Individual
DR. NATHANIEL ALEXANDER MARTIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
405 E MAIN ST, SANFORD, NC 27332-6119
(919) 776-1012
(919) 775-3420
Mailing address
405 E MAIN ST, SANFORD, NC 27332-6119
(919) 776-1012
(919) 775-3420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1737
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018AK
BCBS
NC
Enumeration date
08/16/2005
Last updated
03/04/2011
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