Individual
DR. MARTIN AUGUSTUS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10110 CLEMSON BLVD, SENECA, SC 29678-0812
(864) 482-3148
(864) 482-0505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
36640
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
36847
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701372
UNITED HEALTHCARE
NC
01
—
10901
BCBSNC
NC
05
—
368471
—
SC
01
—
4120
PARTNERS
NC
05
—
8910901
—
NC
Enumeration date
01/18/2006
Last updated
06/30/2021
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