Gunn, Martin Lamar

Gunn, Martin Lamar is an individual health care provider with primary practice located at 605 N Fraser St , Georgetown SC 29440-3265. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Gunn, Martin Lamar can be contacted via phone (843) 545-9999.

Contact Information

Primary practice address
605 N Fraser St Georgetown SC 29440-3265
Phone: (843) 545-9999
Fax: (843) 545-1099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X C15792 South Carolina

Profile Details

NPI number 1518177740
LBN Legal business name Gunn, Martin Lamar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Mar 18th, 2008 - about 18 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 1518177740 NPPES
South Carolina MEDICAID DE1513

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