Individual
SELINA ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3016 LONGTOWN COMMONS DR STE 200, COLUMBIA, SC 29229-7863
(803) 314-9640
(803) 314-9641
Mailing address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 719-5758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017430-1
NY
363A00000X
Physician Assistant
25MP00126700
NJ
363A00000X
Physician Assistant
4969
SC
Other
Enumeration date
07/30/2006
Last updated
09/15/2025
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