Provider Demographics
NPI:1750503140
Name:WELCH, MARTHA C (MD)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:C
Last Name:WELCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1850 W ARLINGTON BLVD
Mailing Address - Street 2:PHYSICIANS EAST
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5704
Mailing Address - Country:US
Mailing Address - Phone:252-413-6740
Mailing Address - Fax:252-413-6740
Practice Address - Street 1:1711 E ARLINGTON BLVD
Practice Address - Street 2:PHYSICIANS EAST, P.A.
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5872
Practice Address - Country:US
Practice Address - Phone:252-355-4357
Practice Address - Fax:252-355-4187
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-01583207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5913640Medicaid
NC1561YOtherBCBSNC
NC5913640Medicaid