Individual
ELIZABETH E. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8 MEMORIAL MEDICAL CT STE 1, GREENVILLE, SC 29605-4400
(864) 295-3492
(864) 295-4817
Mailing address
8 MEMORIAL MEDICAL CT STE 1, GREENVILLE, SC 29605-4400
(864) 295-3492
(864) 295-4817
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
86701
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101262666
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
63725
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
86701
SC
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
63725
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
83213
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306089610
—
VA
Enumeration date
04/16/2009
Last updated
11/09/2021
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