Provider Demographics
NPI:1134168214
Name:MARTIN, EDWIN BRITT III (DPM)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:BRITT
Last Name:MARTIN
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1121 MILITARY CUTOFF RD
Mailing Address - Street 2:SUITE C #262
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3658
Mailing Address - Country:US
Mailing Address - Phone:954-288-5853
Mailing Address - Fax:
Practice Address - Street 1:5305 WRIGHTSVILLE AVE
Practice Address - Street 2:BLD. L
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6507
Practice Address - Country:US
Practice Address - Phone:910-681-1073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC495213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery