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Christopher Martin

Clinic/Center in Oak Hill, WV. Individual provider (NPI-1).

NPI number1164029401
StatusActive
Last updated in NPPESOct 8, 2020

Details

NPI
1164029401
Entity type
Individual (NPI-1)
Name
Christopher Martin
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 8, 2020
Certification date
Oct 8, 2020
Last updated
Oct 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center2394-9968WVYes

Practice location

143 Trump Ave
Oak Hill, WV 25901-2424

Phone 304-237-5051

Mailing address

143 Trump Ave
Oak Hill, WV 25901-2424

Phone 304-237-5051

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