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Individual

BREANNA LEIGH MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
502 6TH BAXTER XING, FORT MILL, SC 29708-6596
(803) 835-2088
Mailing address
5216 BAY RD, ROCK HILL, SC 29732-9505
(803) 804-3280

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22667
SC
207Q00000X
Family Medicine Physician
5011654
NC
363LF0000X
Family Nurse Practitioner
Primary
22667
SC
363LF0000X
Family Nurse Practitioner
5011654
NC

Other

Enumeration date
03/27/2019
Last updated
04/22/2026
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