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1235139411
JERRY MARTIN
CHARLOTTE, NC
NPI
1235139411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NC 200400145)
Enumeration Date
2005-07-28
Last Update Date
2019-04-15
Business Address
JERRY MARTIN
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1242
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Mailing Address
JERRY MARTIN
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number:
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