Individual
MARLYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 SAVAGE RD, SUITE 400C, CHARLESTON, SC 29407-4704
(866) 571-2124
Mailing address
3 ELMORA AVE, GOOSE CREEK, SC 29445-4522
(843) 553-7359
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2152
SC
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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