Individual
BREYON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
653 LEGACY PARK CT, COLUMBIA, SC 29209-3087
(803) 446-4884
Mailing address
653 LEGACY PARK CT, COLUMBIA, SC 29209-3087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244425
SC
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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