Organization
TRIDENT PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS EMERSON MARTIN D.P.M. (DOCTOR)
(843) 553-2235
Entity
Organization
Contact information
Practice address
9279 MEDICAL PLAZA DR, SUITE D, NORTH CHARLESTON, SC 29406-9141
(843) 553-2235
(843) 553-2275
Mailing address
9279 MEDICAL PLAZA DR, SUITE D, NORTH CHARLESTON, SC 29406-9141
(843) 553-2235
(843) 553-2275
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
114
SC
332B00000X
Durable Medical Equipment & Medical Supplies
114
SC
Other
Enumeration date
06/25/2008
Last updated
06/25/2009
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