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1124002589
CHARLES ANDREW MARTIN
WINSTON SALEM, NC
NPI
1124002589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NC 000100120)
Enumeration Date
2005-11-30
Last Update Date
2008-05-14
Business Address
-- CHARLES ANDREW MARTIN PAC
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- CHARLES ANDREW MARTIN PAC
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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