Individual
MR. JAMES THOMAS MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9213 A. UNIVERSITY BLVD., TRIDENT EXECUTIVE VILLAGE, NORTH CHARLESTON, SC 29406-9145
(843) 572-7123
(843) 572-7350
Mailing address
9213 UNIVERSITY BLVD STE A, TRIDENT EXECUTIVE VILLAGE, NORTH CHARLESTON, SC 29406-9145
(843) 572-7123
(843) 572-7350
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9818
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098183
—
SC
01
—
1679524888
NPI
SC
05
—
GP4430 (474430)
—
SC
Enumeration date
02/16/2006
Last updated
06/23/2017
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