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NPI Code Detail

MEDICARE: DR. GEOFFREY A MARTIN MD

MEDICARE: DR. GEOFFREY A MARTIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician0101264714VA

General Provider Information

NPI Number : 1962406470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFFREY A MARTIN MD
Provider Business Mailing Address
First Line : P.O. BOX 3000
Second Line :
City : PINEHURST
State : NC
Zip : 28374
Country : US
Telephone Number : 800-476-8646
Fax Number : 919-382-3210
Provider Business Practice Location Address
First Line : 1840 AMHERST ST
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-2808
Country : US
Telephone Number : 540-536-8000
Fax Number : 540-536-7800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 11/11/2022

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