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NPI Code Detail

MEDICARE: CAROLINE COKER MARTIN MD, MS

MEDICARE: CAROLINE COKER MARTIN MD, MS
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
1207ZH0000XHematology (Pathology) Physician0101246866VA

General Provider Information

NPI Number : 1184821662
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE COKER MARTIN MD, MS
Provider Business Mailing Address
First Line : 1340 WINSLOW RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-4158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 BROAD ROCK BLVD
Second Line : DEPARTMENT OF PATHOLOGY AND LABORATORY SERVICES
City : RICHMOND
State : VA
Zip : 23224-4915
Country : US
Telephone Number : 804-675-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 07/19/2013

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