Individual
MARK ANDREW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(864) 442-4110
(864) 442-4126
Mailing address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(864) 442-4110
(864) 442-4126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18996
SC
207Q00000X
Family Medicine Physician
200100263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189968
—
SC
05
—
5900735
—
NC
Enumeration date
09/02/2005
Last updated
06/28/2023
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