Individual
LORA LEIGH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3793 MCDOWELL LANE, MEDICAL PARK 2, SUITE 200, LITTLE RIVER, SC 29566
(843) 390-0877
Mailing address
2987 FOWLER RD, LORIS, SC 29569-8354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27009
SC
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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