Ricky Ray Martin in Florence - Addiction (substance Use Disorder)
Ricky Ray Martin - NPI 1821113622
Ricky Ray Martin is a Addiction (substance Use Disorder) in Florence, South Carolina. Ricky Ray Martin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ricky Ray Martin is 1821113622. The last update date is 2007-07-08.
Ricky Ray Martin's current location address is Po Box 6196, Florence, South Carolina. You can contact this provider via phone number 8436659349 and fax number 8436696122. The mailing address for Ricky Ray Martin is Po Box 6196, Florence, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricky Ray Martin |
|---|---|
| Address | Po Box 6196, Florence, South Carolina |
| Phone Number | 8436659349 |
| Fax Number | 8436696122 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821113622 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 6196 |
|---|---|
| City | Florence |
| State | South Carolina (SC) |
| Post Code | 29502 |
| Phone Number | 8436659349 |
| Fax Number | 8436696122 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | ICADC15584 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identification code assigned to Ricky Ray Martin by the Centers for Medicare & Medicaid Services?
The Ricky Ray Martin has been issued the NPI (National Provider Identifier) 1821113622, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ricky Ray Martin is located?
The Ricky Ray Martin is situated at the following address: Po Box 6196, Florence, SC, 29502.
What is Ricky Ray Martin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ricky Ray Martin's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Ricky Ray Martin receive the assignment of its 1821113622 from the Centers for Medicare & Medicaid Services?
The Ricky Ray Martin was issued its 1821113622 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date were the Ricky Ray Martin's details last updated?
The information pertaining to the Ricky Ray Martin, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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