Individual
MRS. ERICA EVANS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1205 TOWN PARK LN, EVANS, GA 30809-3481
(706) 868-3100
Mailing address
653 RIVER NORTH DRIVE, NORTH AUGUSTA, SC 29841
(912) 661-5350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10176
GA
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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