Ms. Anita Louise Martin
Adolescent Medicine
212 Ashville Ave Ste 10
Cary
, North Carolina 27511-6669
Ms. Anita Louise Martin
Adolescent Medicine
212 Ashville Ave Ste 10
Cary
, North Carolina 27511-6669
(701) 627-3803
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Ms. Anita Louise Martin
- 1058 College Dr
- New Town, ND
- Zip : 58763
- Fax : (701) 627-3803
- Phone : (701) 627-4750
Second Address
- Ms. Anita Louise Martin
- 212 Ashville Ave Ste 10
- Cary, NC
- Zip : 27511-6669
- Fax : (919) 859-4240
- Phone : (919) 859-1136
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 30406 | NC |
National Provider Identifier
| NPI | 1174582126 |
|---|---|
| Provider Name | Ms. Anita Louise Martin |
| First Address | New Town, ND 58763 |
| Second Address | Cary, NC 27511-6669 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2006 |
| Last Update Date | 21/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 54142 | BLUE CROSS BLUE SHIELD (01) | NC |
| 7422261 | AETNA (01) | NC |
| 8954142 | (05) | NC |
| E64594 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.