Martin, Ricky Ray

Martin, Ricky Ray is an individual health care provider with primary practice located at 601 Gregg Ave , Florence SC 29502. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Martin, Ricky Ray can be contacted via phone (843) 665-9349.

Contact Information

Primary practice address
601 Gregg Ave Florence SC 29502
Fax: (843) 669-6122
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICADC15584 North Carolina

Profile Details

NPI number 1821113622
LBN Legal business name Martin, Ricky Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers