Martin, James Thomas
Martin, James Thomas is an sole proprietor health care provider with primary practice located at 9213 A. University Blvd. Trident Executive Village, North Charleston SC 29406-9145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Martin, James Thomas can be contacted via phone (843) 572-7123.Contact Information
Primary practice address
9213 A. University Blvd. Trident Executive Village
North Charleston SC 29406-9145
Phone: (843) 572-7123
Fax: (843) 572-7350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 9818 | South Carolina |
Profile Details
| NPI number | 1659345494 |
|---|---|
| LBN Legal business name | Martin, James Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Jun 23rd, 2017 - about 9 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 | 1659345494 | NPPES |
| South Carolina | Other | 1679524888 | NPI |
| South Carolina | MEDICAID | 098183 | NPI |
| South Carolina | MEDICAID | GP4430 (474430) | NPI |
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