Kristie Collins Martin PA-C

NPI 1053396101 - Pediatrics - 2080A0000X

NPI Details
NPI 1053396101
Gender Female
Enumeration Date 12/13/2005
Last Updated 06/24/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
400 LIBERTY HILL RD
LUMBERTON NC, 28358-2446, US
Phone (910) 738-8060
Fax (910) 671-3600
Business Location
400 LIBERTY HILL RD
LUMBERTON NC, 28358-2446, US
Phone (910) 738-8060
Fax (910) 671-3600
Toxanomy
Taxonomy Code 2080A0000X
License State North Carolina
License Number 103914
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According to our database, Kristie Collins Martin PA-C NPI is 1053396101, taxonomy code is 2080A0000X and license number is 103914, license state is located at North Carolina. Kristie Collins Martin PA-C physically located at 400 Liberty Hill Rd, Lumberton NC, 28358-2446. NPI Number Kristie Collins Martin PA-C has the Individual type.

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1053396101 NPI number is provided on an as is basis without warranty of any kind. 1053396101 is maintained by the National Plan & Provider Enumeration System. The contents of Kristie Collins Martin PA-C are for informational purposes only.