Organization
JAMES T. MARTIN JR. MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA ALLISON WINNINGHAM (OFFICE MANAGER)
(843) 572-7123
Entity
Organization
Contact information
Practice address
9213 UNIVERSITY BLVD STE A, 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
174400000X
Specialist
Primary
9818
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9818-3
—
SC
Enumeration date
05/12/2006
Last updated
06/23/2017
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