Most Relevant Information
Provider Data
| NPI Number: | 1003511445 |
| Provider Name: | MICHAEL MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | LL89715 |
Most Important Dates
| Enumeration Date: | 04/04/2023 |
| Last Updated: | 07/11/2023 |
Provider Practice Location
2 MEDICAL PARK RD
COLUMBIA
SC
292036808
Practice Location Phone/Fax
| Phone: | 8034346956 |
| Fax: |
Provider Mailing Location
2 MEDICAL PARK RD
COLUMBIA
SC
292036808
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR