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1437200219
TIMOTHY WALTER MARTIN
CHARLOTTE, NC
NPI
1437200219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 176128)
Enumeration Date
2007-01-16
Last Update Date
2008-06-30
Business Address
Mr. TIMOTHY WALTER MARTIN
2001 VAIL AVE ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28207-1219
Phone number: 704-304-5995
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Mailing Address
Mr. TIMOTHY WALTER MARTIN
PO BOX 60499 ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28260-0499
Phone number: 704-304-6202
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