Martin, Charles Davis

Martin, Charles Davis is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Martin, Charles Davis can be contacted via phone (706) 721-0211.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-0211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN250185 Georgia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X RN250185 Georgia

Profile Details

NPI number 1104533892
LBN Legal business name Martin, Charles Davis
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2022
Last updated Jul 5th, 2023 - about last year

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 1104533892 NPPES
Other W274616956 AETNA

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