Provider Demographics
NPI:1508912080
Name:MARTIN, JAMES M (MT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:MARTIN
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Gender:M
Credentials:MT
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Mailing Address - Street 1:1185 ELLERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-6705
Mailing Address - Country:US
Mailing Address - Phone:704-857-3614
Mailing Address - Fax:704-638-3456
Practice Address - Street 1:1601 BRENNER AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2515
Practice Address - Country:US
Practice Address - Phone:704-638-9000
Practice Address - Fax:704-638-3456
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2008-08-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist