Martin, Michael Lee

Martin, Michael Lee is an individual health care provider with primary practice located at 4120 Highway 24 , Anderson SC 29626-5321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Michael Lee can be contacted via phone (864) 512-5830.

Contact Information

Primary practice address
4120 Highway 24 Anderson SC 29626-5321
Phone: (864) 512-5830
Fax: (864) 224-4999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21072 South Carolina

Profile Details

NPI number 1396727574
LBN Legal business name Martin, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 23rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396727574 NPPES
South Carolina MEDICAID 210729

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