Healthcare Provider Details

I. General information

NPI: 1518979020
Provider Name (Legal Business Name): PATRICK C MARTIN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 HOLMESTOWN RD UNIT C
MYRTLE BEACH SC
29588-4717
US

IV. Provider business mailing address

8127 TIMBER RIDGE RD
CONWAY SC
29526-9006
US

V. Phone/Fax

Practice location:
  • Phone: 854-252-7799
  • Fax:
Mailing address:
  • Phone: 854-252-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2851
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: