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NPI Code Detail

MEDICARE: MARTINA DOCKERY MONROE MD

MEDICARE: MARTINA DOCKERY MONROE 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
1207Q00000XFamily Medicine Physician8901239NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699779454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTINA DOCKERY MONROE MD
Provider Business Mailing Address
First Line : 405 S MAIN ST
Second Line :
City : RAEFORD
State : NC
Zip : 28376-3222
Country : US
Telephone Number : 910-609-5800
Fax Number : 910-875-0309
Provider Business Practice Location Address
First Line : 405 S MAIN ST
Second Line :
City : RAEFORD
State : NC
Zip : 28376-3222
Country : US
Telephone Number : 910-609-5800
Fax Number : 910-875-0309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 12/31/2013

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Directions to “ MARTINA DOCKERY MONROE MD” Practice Location

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