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
Fax: (843) 572-7350
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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