Organization
SALEM MEDICAL PRACTICE MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALLAS VANCE MARTIN M.S. (ADMINISTRATOR)
(864) 985-0808
Entity
Organization
Contact information
Practice address
107 E NORTH 1ST ST, SENECA, SC 29678-3240
(864) 985-0808
(864) 985-0525
Mailing address
107 E NORTH 1ST ST, SENECA, SC 29678-3240
(864) 985-0808
(864) 985-0525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
10/23/2012
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