Individual
MRS. CHRISTINA BASHNAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
400 CONSTANCE ST, WALTERBORO, SC 29488-2710
(843) 549-9568
Mailing address
302 MEDICAL PARK DR STE 211, WALTERBORO, SC 29488-5749
(843) 549-9568
(843) 549-1530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN2191
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0473
—
SC
Enumeration date
06/08/2006
Last updated
01/04/2022
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