Individual
CARLOS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 TEAGUE RD, COLUMBIA, SC 29209-3154
(803) 476-6602
Mailing address
7800 TEAGUE RD, COLUMBIA, SC 29209-3154
(803) 476-6602
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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