Whalio Doctors

NPI 1043284946

Martha R Green, MSPASPAC

Practitioner Physician Assistant Summerville, SC

Practice location

Address
75 Springview Ln, Summerville, SC 29485-8154
Phone
(843) 832-5096
Fax
(843) 832-5115

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 490 (SC)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 490 (SC)

Registry record

NPI
1043284946
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Feb 2006
Record last updated
1 Dec 2023

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.