Individual
DR. CAROLE A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
400 HIGHWAY 17 N, SURFSIDE BCH, SC 29575-6029
(843) 238-5900
(843) 238-5910
Mailing address
400 HIGHWAY 17 N, SURFSIDE BCH, SC 29575-6029
(843) 238-5900
(843) 238-5910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2253
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201076267
TAX ID#
SC
05
—
CH2253
—
SC
Enumeration date
08/17/2006
Last updated
09/24/2014
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