Individual
CHARLOTTE MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
2120 N BELTLINE BLVD STE B, COLUMBIA, SC 29204-4518
(803) 782-0528
(803) 782-0528
Mailing address
959 E MAIN ST APT 1416, LEXINGTON, SC 29072-4278
(803) 466-8805
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
326178
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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