Individual
MR. EDGAR MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6800 MASON KNOB TRL, ROANOKE, VA 24018
(540) 260-5263
Mailing address
6800 MASON KNOB TRL, ROANOKE, VA 24018
(540) 260-5263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001232233
VA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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