Individual
DR. KIMBERLY MOORE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
964 RIBAUT RD, SUITE 1, BEAUFORT, SC 29902-5429
(843) 524-5437
(843) 524-0425
Mailing address
964 RIBAUT RD., SUITE 1, BEAUFORT, SC 29902
(843) 524-5437
(843) 524-0425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21071
SC
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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