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1033861984
MICHAEL DAVID MARTIN
CHARLESTON, SC
NPI
1033861984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5015698)
Enumeration Date
2022-01-21
Last Update Date
2024-04-12
Business Address
MICHAEL DAVID MARTIN NP
171 ASHLEY AVE
CHARLESTON, SC 29425-1350
Phone number: 843-792-1414
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Mailing Address
MICHAEL DAVID MARTIN NP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414
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