Martin, Mary Ann

Martin, Mary Ann is an individual health care provider with primary practice located at 839 Majestic Ct Ste 1 , Gastonia NC 28054-5152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Martin, Mary Ann can be contacted via phone (704) 867-6188.

Contact Information

Primary practice address
839 Majestic Ct Ste 1 Gastonia NC 28054-5152
Phone: (704) 867-6188
Fax: (704) 866-6070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0050-02313 North Carolina

Profile Details

NPI number 1598821191
LBN Legal business name Martin, Mary Ann
Credentials MHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 26th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598821191 NPPES
North Carolina MEDICAID 6113022

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