JACOB G MARTIN

CHARLESTON, SC
NPI1396459319
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  27038)
Enumeration Date2023-01-13
Last Update Date2023-03-17
Business Address
JACOB G MARTIN CRNA
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
JACOB G MARTIN CRNA
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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