Martin, Dan C

Martin, Dan C is an individual health care provider with primary practice located at 1008 Druid Park Ave Ste 101 , Augusta GA 30904-5848. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Martin, Dan C can be contacted via phone (770) 962-3642.

Contact Information

Primary practice address
1008 Druid Park Ave Ste 101 Augusta GA 30904-5848
Phone: (770) 962-3642
Fax: (770) 962-3643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 024031 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 024031 Georgia

Profile Details

NPI number 1578595831
LBN Legal business name Martin, Dan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 13th, 2024 - 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 1578595831 NPPES
South Carolina MEDICAID G24031
South Carolina Other 550789920
South Carolina MEDICAID 000288626E
South Carolina Other 050090631
South Carolina MEDICAID 000288626F
South Carolina Other 339275
South Carolina Other 048398

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