Individual
MARTIN D BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8091 RIVERS AVE, N CHARLESTON, SC 29406-9281
(843) 572-7000
Mailing address
8091 RIVERS AVE, NORTH CHARLESTON, SC 29406-9236
(843) 572-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2807
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3579PA
—
SC
Enumeration date
05/12/2017
Last updated
11/01/2021
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