Keith, David Martin

Keith, David Martin is an individual health care provider with primary practice located at 322 W South St , Union SC 29379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keith, David Martin can be contacted via phone (864) 429-8029.

Contact Information

Primary practice address
322 W South St Union SC 29379
Fax: (864) 429-3515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8392 South Carolina

Profile Details

NPI number 1487677712
LBN Legal business name Keith, David Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 15th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487677712 NPPES
South Carolina Other SC6866H888 MEDICARE PIN
South Carolina Other P01575722 MEDICARE PIN
South Carolina MEDICAID 083929 MEDICARE PIN

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