Individual
MS. MARTHA L. ALSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS, RN
Contact information
Practice address
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL ATTN: MCXL-PQ, COLUMBIA, SC 29207-5700
(803) 751-2618
(803) 751-2689
Mailing address
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL ATTN: MCXL-PQ, COLUMBIA, SC 29207-5700
(803) 751-2618
(803) 751-2689
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
R41,128
SC
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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