Individual
PAMELA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PLANTATION PARK DR STE 204, BLUFFTON, SC 29910-9008
(843) 706-0831
Mailing address
PO BOX 3444, BLUFFTON, SC 29910-3444
(843) 706-0831
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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