Individual
ANDREW THOMAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3209 COLONIAL DR, FAMILY MEDICINE ATTN PATIENT CARE, COLUMBIA, SC 29203-6930
(803) 434-6116
(803) 434-7231
Mailing address
3209 COLONIAL DR, FAMILY MEDICINE ATTN PATIENT CARE, COLUMBIA, SC 29203-6930
(803) 434-6116
(803) 434-7231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012-01366
NC
207Q00000X
Family Medicine Physician
LL1085
SC
208D00000X
General Practice Physician
2012-01366
NC
Other
Enumeration date
07/18/2007
Last updated
04/23/2025
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