Martin, William George

Martin, William George is an individual health care provider with primary practice located at 1640 Campus Park Dr Ste A , Monroe NC 28112-5284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, William George can be contacted via phone (704) 288-3961.

Contact Information

Primary practice address
1640 Campus Park Dr Ste A Monroe NC 28112-5284
Phone: (704) 288-3961
Fax: (704) 225-0689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9300750 North Carolina

Profile Details

NPI number 1861455479
LBN Legal business name Martin, William George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated May 3rd, 2021 - about 3 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 1861455479 NPPES
North Carolina MEDICAID 8954165
North Carolina MEDICAID N00750

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