Search › North Carolina › 106S00000X
Shadow Martin
NPI 1982467999 · on the registry since 2024 · sole proprietor
Practice
- Address
- 131 Pine Cone Trl
Reidsville, NC 27320 - Phone
- (336) 459-8138
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina