MEDICARE: DR. MICHAEL CHARLES MARTE 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
1	207RH0003X	Hematology & Oncology Physician	96051	SC
2	207RH0003X	Hematology & Oncology Physician	201701689	NC
3	207RH0003X	Hematology & Oncology Physician	0101238722	VA

General Provider Information

NPI Number	:	1518058502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL CHARLES MARTE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 751874
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1874
Country	:	US
Telephone Number	:	888-472-0043
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	300 CALLEN BLVD
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29486-2815
Country	:	US
Telephone Number	:	843-572-9211
Fax Number	:	843-572-0457

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	01/14/2026

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