Organization
JOHN W MARTIN JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WATSON MARTIN JR. M.D. (OWNER PRESIDENT)
(864) 225-5436
Entity
Organization
Contact information
Practice address
1208 ELLA ST, ANDERSON, SC 29621-4839
(864) 225-5436
(864) 226-3968
Mailing address
1208 ELLA ST, ANDERSON, SC 29621-4839
(864) 225-5436
(864) 226-3968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4618
SC
101YP2500X
Professional Counselor
719
SC
208D00000X
General Practice Physician
5222
SC
Other
Enumeration date
05/15/2007
Last updated
09/11/2025
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