Individual
THOMAS PATRICK MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1528 RED TIDE RD, MT PLEASANT, SC 29466-9406
(412) 427-5688
Mailing address
1528 RED TIDE RD, MT PLEASANT, SC 29466-9406
(412) 427-5688
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD044453E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012340960006
—
PA
05
—
2768401
—
OH
05
—
3004639000
—
WV
Enumeration date
09/14/2005
Last updated
03/15/2019
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