Individual
AMY REBECCA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 S LAURENS ST, GREENVILLE, SC 29601-2716
(864) 663-1266
Mailing address
107 GROVEVIEW TRL, MAULDIN, SC 29662-3033
(706) 513-0245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26492
SC
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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