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Contact Information

SHELLY D MARTIN, MD
800 PENNSYLVANIA AVE
CHARLESTON, WV25302-3351
 Phone: 304-388-2381
 Fax: 304-388-2640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child Abuse Pediatrics

2080C0008X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHELLY D MARTIN · (Female)

NPI # 1871555029
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2006
Last updated 05/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # P0090
  • WV License # 29866
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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