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NPI Code Detail

MEDICARE: STEVEN LEE MARTIN M.D.

MEDICARE: STEVEN LEE MARTIN M.D.
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
1207X00000XOrthopaedic Surgery Physician17186SC
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician17186SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417917568
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN LEE MARTIN M.D.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10630 CLEMSON BLVD STE 100
Second Line :
City : SENECA
State : SC
Zip : 29678-4545
Country : US
Telephone Number : 864-482-6000
Fax Number : 864-482-7166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/10/2022

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Directions to “ STEVEN LEE MARTIN M.D.” Practice Location

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