Individual
DIANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 W POINSETT ST, GREER, SC 29650-1250
(864) 309-3575
Mailing address
1322 W POINSETT ST, GREER, SC 29650-1250
(864) 309-3575
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
IHCP-1157
SC
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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