Individual
MARTIN D CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 ELEVENTH AVENUE, AYNOR, SC 29511-3942
(843) 358-3700
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 234-6827
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12073
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120737
—
SC
Enumeration date
05/03/2006
Last updated
01/30/2023
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