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Individual

PETER BARRY MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(809) 692-1000
Mailing address
23 BERKELEY ST, NASHUA, NH 03064-1933
(603) 459-5865

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
2000-00037
NC
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
09/11/2023
Last updated
02/20/2025
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