Organization
TRENT CANNON & RIDDICK ACKERMAN III
Active
Other names
Walterboro Ob/Gyn
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY B. MARTIN N.P. (OFFICE MANAGER)
(843) 549-9568
Entity
Organization
Contact information
Practice address
400 CONSTANCE ST, WALTERBORO, SC 29488-2710
(843) 549-9568
(843) 549-1530
Mailing address
400 CONSTANCE ST, WALTERBORO, SC 29488-2710
(843) 549-9568
(843) 549-1530
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0529
—
SC
Enumeration date
06/01/2006
Last updated
06/19/2008
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