Individual
ELIJAH EMMANUEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6704 WHITE HORSE RD, GREENVILLE, SC 29611-2504
(864) 294-1392
(864) 294-0424
Mailing address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23186
SC
Other
Enumeration date
10/29/2019
Last updated
10/31/2024
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