Martin, Gavin

Martin, Gavin is an individual health care provider with primary practice located at 2100 Erwin Road , Durham NC 27710-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Martin, Gavin can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
2100 Erwin Road Durham NC 27710-0001
Phone: (919) 684-8111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 98-00744 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 98-00744 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9800744 North Carolina

Profile Details

NPI number 1063575843
LBN Legal business name Martin, Gavin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Sep 7th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063575843 NPPES
North Carolina MEDICAID 891143Q

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