Mary Thurman Martin, MD | |
800 N A St, Easley, SC 29640-2144 | |
(864) 855-0001 | |
Not Available |
Full Name | Mary Thurman Martin |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 800 N A St, Easley, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720098718 | NPI | - | NPPES |
291909 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | LL29190 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Greenville Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Mailing Address | Practice Location Address |
---|---|
Mary Thurman Martin, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Mary Thurman Martin, MD 800 N A St, Easley, SC 29640-2144 Ph: (864) 855-0001 |
Beverly Turner Ellington, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Kristie Leigh Bragg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4741 Highway 153 Ste A, Easley, SC 29642 Phone: 864-661-5278 Fax: 864-408-8369 | |
Emily Brooks Crosby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Mrs. Hiliary Seay Humphries, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 North A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Anna Lee Leavitt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 | |
Dr. Gregory Heyward Langley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Dr. Stacy Blye Garmon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 |