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Individual

SASA MARTINOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2500 ELMS CENTER RD # B, NORTH CHARLESTON, SC 29406
(843) 572-7727
(843) 569-5881
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8649
TN
225100000X
Physical Therapist
Primary
9385
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1520518
TN
01
4269164
BLUECROSS BLUESHIELD
TN
01
9668744
AETNA
01
9770617
CIGNA
TN
01
P00884970
RR MEDICARE
TN
05
TH3750
SC
Enumeration date
06/09/2010
Last updated
06/24/2021
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