Jeffrey S Martin in Wilmington - Physician Assistant

Jeffrey S Martin - NPI 1194814632

Jeffrey S Martin is a Physician Assistant in Wilmington, North Carolina. Jeffrey S Martin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey S Martin is 1194814632. The last update date is 2011-12-13.

Jeffrey S Martin's current location address is 608 Dawson St, Wilmington, North Carolina. You can contact this provider via phone number 9106670041 and fax number 9106670019. The mailing address for Jeffrey S Martin is 608 Dawson St, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey S Martin
Address 608 Dawson St, Wilmington, North Carolina
Phone Number 9106670041
Fax Number 9106670019
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1194814632
Provider Enumeration Date 2006-10-12
Last Updated Date 2011-12-13

Provider Mailing Address Detail

Address 608 Dawson St
City Wilmington
State North Carolina (NC)
Post Code 284015712
Phone Number 9106670041
Fax Number 9106670019

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 102353
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jeffrey S Martin

What is the Jeffrey S Martin's 1194814632?

The Jeffrey S Martin's NPI (National Provider Identifier) Number is 1194814632. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jeffrey S Martin?

The Jeffrey S Martin is situated at 608 Dawson St, in the city of Wilmington, state of NC, with the zip code 284015712.

What is Jeffrey S Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeffrey S Martin is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194814632 to Jeffrey S Martin?

The Centers for Medicare & Medicaid Services originally issued the 1194814632 to Jeffrey S Martin on 2006-10-12.

As of what date were the details pertaining to Jeffrey S Martin last refreshed?

The information related to the Jeffrey S Martin, including its address, specialty, and other relevant details, was last updated on 2011-12-13.

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