NPI 1679524888

James T. Martin Jr. MD

Organisation Specialist North Charleston, SC

Practice location

Address: 9213 University Blvd STE a Trident Executive Village, North Charleston, SC 29406-9145
Phone: (843) 572-7123
Fax: (843) 572-7350

Authorised official

Name: Karla Allison Winningham
Title: Office Manager
Phone: (843) 572-7123

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 9818 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1679524888
Entity type: Organization
NPI issued: 12 May 2006
Record last updated: 23 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.