Individual
CATHY MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1125 LANDOU LANE, MOUNT PLEASANT, SC 29466
(843) 276-6749
Mailing address
18 SEAGRASS LN, ISLE OF PALMS, SC 29451-3853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F54291
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
368
SC
Other
Enumeration date
01/02/2013
Last updated
07/09/2019
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