Martin, Mark Andrew
Martin, Mark Andrew is an individual health care provider with primary practice located at 105 Franklin Square Way Ste A , Easley SC 29642-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Mark Andrew can be contacted via phone (864) 442-4110.Contact Information
Primary practice address
105 Franklin Square Way Ste A
Easley SC 29642-3715
Phone: (864) 442-4110
Fax: (864) 442-4126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200100263 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18996 | South Carolina |
Profile Details
| NPI number | 1326032566 |
|---|---|
| LBN Legal business name | Martin, Mark Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jun 28th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326032566 | NPPES |
| North Carolina | MEDICAID | 5900735 | |
| North Carolina | MEDICAID | 189968 |
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