Organization
UPSTATE MOBILE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANDREW MARTIN M.D. (PHYSICIAN)
(864) 494-0999
Entity
Organization
Contact information
Practice address
125 TIMBERLAKE CIR, INMAN, SC 29349-9659
(864) 494-0999
(868) 752-0951
Mailing address
125 TIMBERLAKE CIR, INMAN, SC 29349-9659
(864) 494-0999
(868) 752-0951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4214
—
SC
Enumeration date
01/08/2007
Last updated
08/22/2020
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