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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396727574 | NPPES |
| South Carolina | MEDICAID | 210729 |
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