Pamela Martin

Key facts

NPI

1679927495

Entity type

Individual (NPI type 1)

Primary specialty

Contractor 171W00000X

Practice address

29 Plantation Park Dr Ste 204
Bluffton, SC 29910-9008

Phone

(843) 706-0831

NPI assigned

Apr 18, 2016

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 18, 2016.

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1679927495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3444",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299103444",
            "telephone_number": "843-706-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR STE 204",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109008",
            "telephone_number": "843-706-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Bluffton, SC · Contractor in South Carolina