Individual
TASHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 HIGHWAY 9 E STE 245, LITTLE RIVER, SC 29566-7833
(843) 366-2940
(843) 366-2470
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 366-2940
(843) 366-2470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
86651
SC
390200000X
Student in an Organized Health Care Education/Training Program
209897
NC
Other
Enumeration date
04/13/2015
Last updated
09/20/2021
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