Provider Demographics
NPI:1376937987
Name:MARTIN, BRITTNEY DENISE
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:DENISE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:BRITTNEY
Other - Middle Name:DENISE
Other - Last Name:WILKERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1350 S KINGS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-2134
Mailing Address - Country:US
Mailing Address - Phone:704-446-1400
Mailing Address - Fax:704-446-1410
Practice Address - Street 1:1350 S KINGS DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-2134
Practice Address - Country:US
Practice Address - Phone:704-446-1400
Practice Address - Fax:704-446-1410
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22839183500000X
DCPH100000835183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist