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NPI Code Detail

MEDICARE: MARTIN GABRIEL FINGERLIN PA-C

MEDICARE: MARTIN GABRIEL FINGERLIN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1164287744
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN GABRIEL FINGERLIN PA-C
Provider Business Mailing Address
First Line : 127 BELFRY DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-8148
Country : US
Telephone Number : 803-917-3738
Fax Number :
Provider Business Practice Location Address
First Line : 1350 S KINGS DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28207-2134
Country : US
Telephone Number : 704-446-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2024
Last Update Date : 02/05/2026

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