Individual
THERESA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7356 GARNERS FERRY RD STE 213, COLUMBIA, SC 29209-2146
(803) 708-0716
(803) 708-0717
Mailing address
7356 GARNERS FERRY RD STE 213, COLUMBIA, SC 29209-2146
(803) 708-0716
(803) 708-0717
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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