JOHN W MARTIN JR MD PA NPI 1528274669

NPI Information

NPI: 1528274669
Provider Name: JOHN W MARTIN JR MD PA
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1208 ELLA ST
ANDERSON, SC
ZIP 29621
Phone: (864) 225-5436
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JOHN W MARTIN JR MD PA is a professional counselor in Anderson, SC. JOHN W MARTIN JR MD PA NPI is 1528274669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1208 ELLA ST
ANDERSON, SC
ZIP 29621-839
Phone: (864) 225-5436
Fax: (864) 226-3968

The provider's authorized official is John Watson Martin .
The authorized official title is OWNER PRESIDENTPresident and has the following contact phone number (864) 225-5436.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	719	SOUTH CAROLINA	Yes
2	101YP2500X	Counselor	Professional	4618	SOUTH CAROLINA	X
3	208D00000X	General Practice		5222	SOUTH CAROLINA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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