Individual
JOHN BRUCE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
TAYLOR AT MARION, PALMETTO HEALTH BAPTIST, COLUMBIA, SC 29220
(803) 296-5804
Mailing address
462 AMICKS FERRY RD, CHAPIN, SC 29036-9403
(803) 397-3838
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN 3754
SC
Other
Enumeration date
06/22/2005
Last updated
04/08/2013
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