Most Relevant Information
Provider Data
| NPI Number: | 1003295239 |
| Provider Name: | JENNIFER LEE MARTIN D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | OT016512 |
Most Important Dates
| Enumeration Date: | 05/20/2015 |
| Last Updated: | 11/24/2020 |
Provider Practice Location
171 ASHLEY AVE
CHARLESTON
SC
294253230
Practice Location Phone/Fax
| Phone: | 8437921414 |
| Fax: |
Provider Mailing Location
PO BOX 751461
CHARLESTON
SC
294253230
Provider Mailing Phone/Fax
| Phone: | 8437926200 |
| Fax: |
Suggested EMR
Internist EMR