| Doctor Name: | KRISTIE COLLINS MARTIN |
| NPI Number: | 1053396101 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 103914 |
| Business Practice Address: | 400 Liberty Hill Rd Lumberton, NC - 283582446 |
| Business Phone Number: | 9107388060 |
| Business Fax Number: | 9106713600 |
| Mailing Address: | 400 Liberty Hill Rd, LUMBERTON |
| State: | NC |
| Postal Code: | 283582446 |
| Phone Number: | 9107388060 |
| Fax Number: | 9106713600 |
| NPI Enumeration Date: | 12/13/2005 |
| NPI Last Update Date: | 01/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 103914 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |