Individual
MRS. PRUDENCE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WOODS LAKE RD STE 712, GREENVILLE, SC 29607-2765
(864) 242-0005
Mailing address
104 MEILLAND DR, GREER, SC 29650-4421
(864) 444-7959
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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