Individual
GINA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 TOCCOA HWY, WESTMINSTER, SC 29693-1638
(864) 886-4515
(864) 886-4516
Mailing address
412 THEO MARTIN RD, WESTMINSTER, SC 29693-4836
(864) 886-4515
(864) 886-4516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39214P
SC
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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