Provider Demographics
NPI:1326101106
Name:MARTIN, PAUL LANGLIE (MD/PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:LANGLIE
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2621
Mailing Address - Country:US
Mailing Address - Phone:919-880-7590
Mailing Address - Fax:919-668-1180
Practice Address - Street 1:1514 CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2621
Practice Address - Country:US
Practice Address - Phone:919-880-7590
Practice Address - Fax:919-668-1180
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC357002080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8954501Medicaid
NC2173977BMedicare PIN
NC8954501Medicaid