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NPI Code Detail

MEDICARE: GARY L. MARTIN M.D.

MEDICARE:   GARY L. MARTIN  M.D.
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 Physician0101059276VA
2207Q00000XFamily Medicine Physician138795NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2144NWOTHERNCBCBS
35743081OTHERNCCIGNA

General Provider Information

NPI Number : 1750329918
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY L. MARTIN M.D.
Provider Business Mailing Address
First Line : PO BOX 829
Second Line :
City : HILDEBRAN
State : NC
Zip : 28637-0829
Country : US
Telephone Number : 828-397-3522
Fax Number : 828-397-3522
Provider Business Practice Location Address
First Line : 107 S CENTER ST
Second Line :
City : HILDEBRAN
State : NC
Zip : 28637-8304
Country : US
Telephone Number : 828-397-3522
Fax Number : 828-397-3522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 04/27/2017

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Directions to “ GARY L. MARTIN M.D.” Practice Location

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