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Individual

DR. ERNEST CLEAGE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
309 W BELTLINE BLVD, NORTH HILL PROFESSIONAL PARK, ANDERSON, SC 29625-1505
(864) 261-9506
(864) 225-1134
Mailing address
309 WEST BELTLINE BLVD., NORTH HILL PROFESSIONAL PARK, ANDERSON, SC 29625-1505
(864) 261-9506
(864) 225-1134

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
15740
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3908
SC
Enumeration date
07/17/2006
Last updated
12/05/2013
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