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Individual

DR. MARTIN A DUCLOS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-1523
(843) 234-6722
Mailing address
1415 GLENKEITH CT, MYRTLE BEACH, SC 29575-5882
(843) 347-1523
(843) 234-6722

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26837
SC

Other

Enumeration date
04/10/2006
Last updated
07/08/2007
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